membership update form 2015

Institute Of People Management Of Zimbabwe Visit :15 Argyle Road, Avondale Harare Post : P.O. Box 10336, Harare Phone : ...

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Institute Of People Management Of Zimbabwe Visit :15 Argyle Road, Avondale Harare Post : P.O. Box 10336, Harare Phone : 700712/14/20 E-mail: [email protected]; [email protected] Website : www.ipmz.org.zw

IPMZ MEMBER DETAIL UPDATE FORM FOR 2015 Membership Number :_______________________________ Surname : _________________________________________ Forenames in Full :___________________________________ Organisation : _______________________________________ Job Title : __________________________________________

PRIMARY MEMBERSHIP SUBSCRIPTION INVOICE The annual subscription shall be payable in advance on 1st January each year And shall apply to all grades of membership. NON PAYMENT OF SUBS BY DUE DATES WILL RESULT IN AUTOMATIC MEMBERSHIP CANCELLATION ANNUAL SUBSCRIPTION Student Affiliate Members: USD 85 Associate Full Members : Corporate Member

Member Fellow Gold Class Silver Class

Postal Address : _____________________________________ D.O.B______________________I.D__________________________

E-mail Address :_____________________________________

USD 125

Contact Telephone Number : ___________________________

USD 500 USD 300

Cell Phone Number : _________________________________ Date :____________________ Signature :________________

F C AACCOUNTS BANK BRANCH BRACH CODE SWIFT CODE

STANBIC PARKLANE 3102 SBICZWHAXXXX

ACCOUNT NUMBERS 0222059687601 USD 0622059687601 RAND 0322059687601 POUND

ECOCASH 72146 BILLER CODE Subscription is tax deductible. Please retain your receipt for this purpose.

Membership of a professional Institute should be viewed as a career-long commitment. Your annual subscription enables the Institute, which is a not-for-profit organisation, to employ staff and continue to provide you with services and information on professional matters. PLEASE REGARD PAYMENT OF YOUR MEMBERSHIP SUBSCRIPTION AS A PROFESSIONAL RESPONSIBILITY.

Students: If you plan to write examinations in April 2015, your subscription must be paidby 31 January 2015 - otherwise your examination application will be rejected. Update Form Please complete the update section on the right sideof this form and send it, with your payment so that we have accurate up-to-date information about you on record.

THE VALUE OF MEMBERSHIP IS PRICELESS