SAIMM Journal Subscriptions

Journal Subscriptions

SAIMM Journal
Subscription Request

Date
Name
Subscriber Number
Agent Name
Agent address (for invoicing purposes)
Client name
Client address (for the delivery of journal monthly)
Contact person at Agent
Agent / client work tel:
Agent / client work fax:
Agent / client work email:
VAT NUMBER (South African Customers)
How will you be paying?	Credit Card Electronic Payment Cheque
Please enter the anti-spam code below and submit your paper