Full Membership

Full Membership

Application form for Full Membership of the Franchise Association of South Africa - Established Franchisors
Main Contact Person of Application *

First Name Last Name
Email Address of Applicant *
example@example.com
Phone Number of Applicant *

Area Code Phone Number
Address of Franchise Business (Head Office) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How did you find us? *
Please specify
Registered Name of Franchise Company *
Name to be used for member listing and membership certificate *

Contact details of the following persons at your company
Chief Executive Officer/Managing Director Name and Surname *

First Name Last Name
Email Address *
example@example.com
Cell Phone Number *

Area Code Phone Number
Development or Property Manager Name and Surname

First Name Last Name
Development or Property Manager Email Address
example@example.com
Development or Property Manager Cell Phone Number

Area Code Phone Number
Marketing Manager Name and Surname *

First Name Last Name
Marketing Manager Email Address *
example@example.com
Marketing Manager Cell Phone Number *

Area Code Phone Number
National Operations or Franchise Manager Name and Surname *

First Name Last Name
National Operations or Franchise Manager Email Address *
example@example.com
National Operations or Franchise Manager Cell Phone Number *

Area Code Phone Number
PA/Secretary Name and Surname

First Name Last Name
PA/Secretary Email Address
example@example.com
PA/Secretary Phone Number

Area Code Phone Number

Legal Advisor
Name of the Law Firm *
Attorney Name and Surname *

First Name Last Name
Attorney Email Address *
example@example.com
Attorney Phone Number *

Area Code Phone Number
Franchise Consultant Name and Surname (if applicable)

First Name Last Name

Business History
Year your company commenced to conduct a business of the type you franchise/intend to franchise *

Month Day Year
Date
Year your company signed its first franchise agreement *

Month Day Year
Date

Black Economic Empowerment
Does your franchise company have a BEE rating verification certificate? *

Yes - please submit a copy of the latest certificate No
Upload copy of latest BEE Certificate

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Development of the Franchise
Number of company owned outlets - one year ago?
Number of company owned outlets - currently?
Number of franchised owned outlets - one year ago? *
Number of franchised owned outlets - currently? *
In which other countries outside of South Africa are your main trading territories?

Documents to Attach
Copy of latest disclosure document *

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Completed and signed members declaration on the company's letterhead *

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Copy of the latest franchise company's agreement *

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Comprehensive list of the contents or index of the franchise company’s operations/training/procedural manual/s. *

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Copy for the franchise company's latest financials *

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Upload franchise company logo

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High resolution in JPG or PDF format Cancel of

Application Declaration - I agree to the following:
Application Declaration - As the duly authorised representative of the member company, I declare, confirm and agree to the following: *

The member company is familiar with, undertakes to comply with and to subscribe to the Code of Ethics at all times, including inter alia, to have a compliant franchise agreement and disclosure document, and to operate honestly, compliantly and ethically. I further declare that as the duly authorised representative of the applicant company, that the company is financially sound and that the information given by me in this application is to the best of my knowledge and belief accurate and complete. As the duly authorised representative of the applicant company, I agree and understand that should this application be unsuccessful for any reason, an administration fee of R3,500 excluding VAT would be deducted from the membership fees paid to FASA and the balance refunded to the applicant company. It is to be noted that the once-off legal fee paid by the applicant company (if applicable) is not refundable. The Franchise Association of South Africa will not pay interest on any membership or any other fees paid by an applicant or existing member. That membership of FASA (Franchise Association of South Africa), once granted, continues and automatically renews annually, unless the member company informs FASA, in writing, during the month of October, of its intention to cancel its membership for the ensuing year. Should FASA not receive a cancellation notification in writing during the month of October, a membership invoice will be raised thereafter for the membership feesfor the ensuing year. I, the undersigned, who is a duly authorised representative of the applicant, acknowledge that the Franchise Association of South Africa (FASA) or any of its agents, financial institutions or credit bureau may conduct a credit check and exchange of such information on the applicant company for purposes of assessing the company as a potential member of FASA. FASA may inform your franchisees, should our franchise company’s membership (franchisor’smembership) status lapse or be cancelled.

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