Download a printable version of the Application Form
All members are required to sign the RCCI Code of Good Conduct.
Please download the Code of Good Conduct by clicking the link below,
print it, sign it and return it to the RCCI office.
Download the RCCI Code of Good Conduct
Business Description (required)
Physical Address (required)
Postal Address (required)
CONTACT DETAILS: PRINCIPAL MEMBER
Cell Number (required)
Email Address (required)
CONTACT DETAILS: ADDITIONAL MEMBER 1
CONTACT DETAILS: ADDITIONAL MEMBER 2
Select Membership Payment Option AnnuallyMonthly
* In exceptional circumstances, members may qualify for a rebate or exemption, at the discretion of the CEO.
Should your debit order be returned unpaid by your bank, your account will be debited with the applicable bank charges.
FORM OF AUTHORITY AND MANDATE IN RESPECT OF ALL ELECTRONIC DEBITS
Given By (Name of Account Holder) (required)
First debit order
Next debit order
I/we hereby authorise The Randburg Chamber of Commerce and Industry NPO 031269 (RCCI) collection agency ACB Link (Pty) Ltd to issue and deliver payment instructions to your banker for collection against my/our abovementioned account at my/our abovementioned bank (or any other bank or branch to which I/we may transfer my/our account) on condition that the sum of such payment instructions will never exceed my/our obligations as agreed to in this membership agreement.
Date of first debit order shall be processed on the abovementioned day (payment day), thereafter date of subsequent debit orders shall be processed on the abovementioned day of every month, commencing in abovementioned year and continuing until this Authority and Mandate is terminated by me/us by giving you notice in writing of not less than 30 calendar days, and sent by email.
In the event that the payment day falls on a Sunday or recognised South African public holiday, the payment day will automatically be the next ordinary business day.
I/we understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks and I/we also understand that details of each withdrawal will be printed on my bank statement, with the reference ‘RCCI’ and my unique client number.
I understand that my bank will apply charges at their ruling rates for unmet transactions.
I also understand that any banking fees incurred by my supplier may be recovered in the event of unmet transactions.
I/We acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.
I/We agree that although this Authority and Mandate may be cancelled by me/us, such cancellation will not cancel the service agreement.
I/We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.
Our bank details are:
Name: RANDBURG CHAMBER OF COMMERCE & INDUSTRY
Account Number: 1093 3240 23
Branch Code: 198765
Please send proof of payment to firstname.lastname@example.org
Who is responsible for the payment of accounts?
First Name (required)
Last Name (required)
Phone Number: (required)
Cell Number: (required)
Terms and Conditions (opens in a new window)
I accept the Terms and Conditions ---YESNO
How did you hear about us?
---EventReferral by otherSocial mediaWeb siteOther
Please note that the principal member will be subscribed to our mailing list.
If additional members would like to subscribe, they can do so here: Subscribe