This is indicated by the "https://" prefix in the address bar above and by the associated lock icon. We make use of industry standard SSL - Secure Socket Layer technology. This indicates our commitment to your security and means that all your information on this form including your credit card details are encrypted for privacy and as a result cannot be read as it travels over the Internet.
There are still over 1.5m valid, active CC’s in SA, so you should get your ASSOCIATION AGREEMENT in order.
Association Agreements are made between a CC and its members.
It is not compulsory for you have an Association Agreement,
but it is advisable in order to "keep things clear" especially if there is more than one member in a CC.
Our fee per Association Agreement application from only R395.00.
This application is sent to:
eServices - a unit of Kembul CC 2004/009702/23 - a private corporation.
Physical address: 1 Oak Court, Caledon Street, Somerset West, South Africa 7130
Postal address: P O Box 1138, Somerset West 7129
Tel: 0861BUSINESS or 021 852-4444 Fax: 086 554 6065 Email: email@example.com
We accept these cards:
and bank transfers / deposits.
Our clearing division, Accountkeeper, is a Registered Merchant with ABSA BANK Limited.
(Therefore any credit card transaction with us will appear on your statement as "Accountkeeper".)
Your full name:
An Association Agreement application costs from R395.00.
Due to the nature of this application in terms of ECATA and CPA all fees paid to us are non-refundable.
Please select the type of Association Agreement for which you are applying:
Click here to calculate... This will be the cost of your Association Agreement application: R
Give details of Close Corporation for which the Association Agreement is required:
Close Corporation name:
/ / Format: 2009 / 012345 / 23
Your position in the CC:
Confirm email address:
Industrial Classification Code:
Please answer this question: How did you hear about / find us?:
Search keyword/s used (if any):
Your credit card details for payment:
Credit card type:
Last 3 digits on back of card:
Cardholder's name (exactly as it appears on card):
The following items are needed for cardholder protection and card verification purposes:
If cardholder is different from applicant, give reason and relationship with cardholder:
Cardholder's billing address (as it appears on credit card statement):
This transaction will appear on your credit card statement as "Accountkeeper".
By sending this order with the above credit card details, I, the above-named (the one placing the order), declare that I agree to the terms and conditions on this form and to the Trade Terms, that the information in this form is correct, that I have been duly authorised by the above-named Business to place this application, and that the credit card is mine or I have direct and full permission from the cardholder to carry out this transaction. I hereby apply for the purchase of one Association Agreement with the above details, and I agree to comply with all requests in regard to documentation/information.