Business Essentials Club Registration

Title Please Select Mr Mrs Miss Ms Dr Other If Other Please Specify Name Company Name Contact Number Postal Address Postal Code Email Address Fax Type of Business Please Select Sole Trader Partnership Company Private (Pty Ltd) Public (Listed or unlisted ) Association Trust Nature of Business No of Employees No of Directors No of Shareholders No of Partners Projected Income Please Select Under 500,000 500,000 - 1.5 Million 1.5 Million - 3 Million 3 Million - 6 Million 6 Million - 10 Million 10 Million - 15 Million 15 Million - 20 Million 20 Millon + Average Legal Spend Brief Description