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Thank you. Your order has been received.

  • Order number: 24665
  • Date: 16 Dec 2020
  • Total: R450.00
  • Payment method: Test Gateway

Order details

Product Total
New Membership Application or Upgrade × 1
  • Email:

    marcel@marcel.co.za

  • Your Speaking Disciplines (Please tick all applicable):

    Entertainer

  • For how long have you been earning direct income as one of the above - State number of years:

    25

  • Are you being represented by any Speakers Agents/Bureaus?:

    Yes

  • If so, by how many?:

    5

  • If you are NOT earning a regular income as any one of the above, please state your interest in joining the PSASA below: (e.g. Aspiring Speaker, Toastmaster, Company Speaker, Academic Lecturer etc.):

    interestfield

  • Company Status i.e. Sole Prop, PTY Ltd, CC:

    soleprop

  • Your Website:

    https://www.google.com

  • Skype Username:

    skypeusername

  • Twitter Username:

    @twitterusername

  • YouTube Channel Name / URL:

    youtubechannel

  • SlideShare URL:

    https://slideshare.com/

  • Facebook Page URL:

    https://facebook.com/

  • LinkedIn URL:

    https://linkedin.com/

  • SoundCloud URL:

    https://soundcloud.com/

  • Other Social Profiles:

    othersocials

  • I was referred to PSASA by:

    PSASA Member

  • State name of person/bureau/magazine:

    richard

  • Application Type:

    Membership

  • Agreement:

    I have read & understand the membership criteria

  • Signature:

  • Full Name and Surname:

    MarcelTest OudejansTest

  • Date:

    16/12/2020

R450.00
Subtotal: R450.00
Payment method: Test Gateway
Total: R450.00

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