APPROVAL

General Manager:

Date:

Financial Director:

Date:

APPLICATION FOR MEMBERSHIP

Please state the following details, which will be treated as confidential:
RMI No.
_________________________
1. COMPANY DETAILS
Name of Company: ______________________________________________________________________

Trading Name: _______________________________________________________________________

(Unless otherwise stated, the Trading Name will be used in all RMI membership records)

Legal Status: (tick the applicable)

Public Company Private Listed Company
Close Corporation Partnership
Sole Proprietorship

REGISTRATION No. ___________________________________ MIBCO No. _______________________

2. TOTAL NUMBER OF PERSONS EMPLOYED VAT NO. __________________________

3. MEMBERSHIP CLASSIFICATION (to be completed by R.M.I.)

Basic R.M.I.

Development Association(s)

Accredited Association(s)

Associate Association(s)

International Association(s)

4. OWNERSHIP DETAILS
Full names of all Directors / Members / Partners / Proprietor:

Name of Managing Director / Proprietor who will represent your establishment in all dealings with the
Organisation - (this person will also be regarded as the contact person between your Company and the
RMI and all correspondence will be addressed to him/her):

__________________________________________
5. ADDRESS DETAILS
Physical Address: _________________________________________________________________________

____________________________________________________________Postal Code:___________________

Postal Address: _____________________________________________________________________________

____________________________________________________________Postal Code:___________________

Tel No. Dial Code: (________) No.: _______________________Cell No.______________________________

Fax No. Dial Code: (________) No.: ____________________________________________________________

E-mail Address: ____________________________________________________________________________

Website Address: ___________________________________________________________________________

6. MEMBERSHIP CATEGORY

Please indicate which category below indicates the MAIN activity of your establishment:

New & Used Vehicle Dealer

Auto Electrical only (MIWA)
Automotive friction component
remanufacturer (ARA)
Automotive parts dealer (TEPA)
Automotive Engineering (ARA)
Battery specialist only (TEPA)
Car Rental (NADA)
Component manufacturer (TEPA)
Diesel fuel injection (ARA)
Fleet Management (NADA)
General repair establishment
(independent) (MIWA)
Motor body repairer (SAMBRA)
Vehicle Testing Association (VTA)
Other (specify)
Used only
(NADA)
Repair shop
Motorcycle Dealer (NADA)
only
Retreader (TEPA)
Radiator Repairs only - Specialist workshop (ARA)
Service Station/Convenience Store (SAPRA)
Suppliers of: Paint/Workshop equipment etc (ASSOCIATE
only)
Transmission specialist (MIWA)
Tractor and agricultural machinery (NADA)
Tyre Dealer (TEPA)
Vehicle body building (SAVABA)
Vehicle fitment centre (specify)(MIWA)
Vehicle fitment centre (TEPA)

NOTE:
Applications for accredited membership must be accompanied by an application for accreditation by the
relevant constituent Trade Association of the RMI.

7. I, _____________________________________________ the undersigned and duly authorised to do so,

hereby apply on behalf of ________________________________________________________________

for membership of the Retail Motor Industry Organisation and certify that the details given above, are to the
best of my knowledge and belief, correct.

I hereby agree, subject to my being accepted as a member, to be bound by the Constitution of the
Organisation, By-laws and any Resolution now and at any future time in force and which may affect me.

WITNESS: ______________________________ SIGNATURE: ______________________________

PLACE: ______________________________ DATE: ___________________________________