Preliminary Membership Application

Preliminary Membership Application

Application form for Preliminary Membership of the Franchise Association of South Africa
Main Contact Person of Application

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

Area CodePhone Number
Address of Franchise Business (Head Office)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you find us?
Who was your word or mouth or franchise attorney/consultant
Registered Name of Franchise Company
Name to be used for member listing and membership certificate
What is your reason for membership with FASA?
- Chief Executive Officer/Managing Director Name and Surname
  
  First NameLast Name
- Email Address
  example@example.com
- Cell Phone Number
  
  Area CodePhone Number
- Development or Property Manager Name and Surname
  
  First NameLast Name
- Development or Property Manager Email Address
  example@example.com
- Development or Property Manager Cell Phone Number
  
  Area CodePhone Number
- Marketing Manager Name and Surname
  
  First NameLast Name
- Marketing Manager Email Address
  example@example.com
- Marketing Manager Cell Phone Number
  
  Area CodePhone Number
- National Operations or Franchise Manager Name and Surname
  
  First NameLast Name
- National Operations or Franchise Manager Email Address
  example@example.com
- National Operations or Franchise Manager Cell Phone Number
  
  Area CodePhone Number
- PA/Secretary Name and Surname
  
  First NameLast Name
- PA/Secretary Email Address
  example@example.com
- PA/Secretary Phone Number
  
  Area CodePhone Number
- Name of the Law Firm
- Attorney Name and Surname
  
  First NameLast Name
- Attorney Email Address
  example@example.com
- Attorney Phone Number
  
  Area CodePhone Number
- Franchise Consultant Name and Surname (if applicable)
  
  First NameLast Name
- 1. Supply Company Name
- Name and Surname of Supplier Contact 1
  
  First NameLast Name
- 1. Main Product Supplied
- 1. Email
  example@example.com
- Cell Number
  
  Area CodePhone Number
- 2. Supplier Company Name
- Name and Surname of Supplier Contact 2
  
  First NameLast Name
- 2. Supplier Email
  example@example.com
- 2. Cell Phone Number
  
  Area CodePhone Number
- Year your company commenced to conduct a business of the type you franchise/intend to franchise
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Year your company signed its first franchise agreement
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Does your franchise company have a BEE rating verification certificate?
- Upload copy of latest BEE Certificate
  
  Browse Files
  
  Cancelof
- Number of company owned outlets - one year ago?
- Number of company owned outlets - currently?
- Number of franchised owned outlets - one year ago?
  If not sold any franchises then input 0
- Number of franchised owned outlets - currently?
  If not sold any franchises then input 0
- In which other countries outside of South Africa are your main trading territories?
- Copy of latest disclosure document
  
  Browse Files
  
  Cancelof
- Completed and signed members declaration on the company's letterhead
  
  Browse Files
  
  Cancelof
- Copy of the latest franchise agreement
  
  Browse Files
  
  Cancelof
- Comprehensive list of the contents or index of the franchise company’s operations/training/procedural manual/s.
  
  Browse Files
  
  Cancelof
- Upload franchise company logo
  
  Browse Files
  High resolution in JPG or PDF format Cancelof
- Upload your list of franchisees
  
  Browse Files
  
  Cancelof
- Application Declaration Form
  
  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.As the duly authorised representative of the applicant company I agree and understand that membership of the Franchise Association of South Africa, once granted, continues annually unless the member company informs the Franchise Association of South Africa in writing, during the month of October of its intention to cancel its membership for the ensuing year. Should the Franchise Association of South Africa not receive a cancellation notification in writing during the month of October a membership invoice would be raised for the membership fees of the ensuing year and as the duly authorised representative of the applicant I agree and accept to abide by this membership policy.
- Do you consent to receive future emails, telephone calls or WhatsApp messages from FASA, including marketing content, industry news, event updates and opportunities. Please confirm by replaying YES or ticking the box below?
- Should be Empty: