Psychological Society of South Africa

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Become a PsySSA Member

STEP 1 : Personal Details

The Psychological Society (PsySSA) is committed to the advancement of Psychology as a Science, as a Profession, and as a means of promoting Human Well Being

Please fill in the fields below (* = required fields):

Title		Initials *
Name *		Surname *
Identification Number *
Address *
Postal Code *
Work No *		Home No *
Cell Number *		Fax Number *
Email *		Country *
Highest Qualification *
Other *		If Registered, Board number *

I, the undersigned, hereby apply for membership of the Psychological Society of South Africa (PsySSA) and undertake to abide by the constitution of PsySSA. I undertake to pay my membership fees, as determined by PsySSA, annually. I also undertake to resign in writing (from PsySSA and/or Divisions) should I no longer wish to be a member, and I accept that my membership fees would not be refunded. I agree that I will be held responsible for membership dues accrued up to the date of my resignation. I declare that the information supplied above is correct and that no relevant information has been withheld.

FOR PROSPECTIVE STUDENT MEMBERS ( to be completed by the head of department)

I, the undersigned herewith certifies that is enrolled as a student at the University of and that she/he is currently registered for the course in Psychology.

All Students please note: To confirm the above, we will require a letter from your university confirming your registration for the above mentioned course and it must be stamped by an official University stamp. You may post this to PsySSA Membership Management, P.O.Box 989, Houghton, 2041 OR email it to members@PsySSA.com

STEP 2 : Membership Details

Membership Fees (FROM 01 JANUARY 2008) are as follows

Type	Price
Full Member	R770
Associate	R770
Affiliate	R770
Students	R180
Post 1st Year Interns	R260
Post 2nd Year Interns	R390
Intern	R390
Foreign	$160
Psychometry/Registered Counsellers	R440

Please indicate if you are a: *

	Full Member
	Associate
	Affiliate
	Students
	Post 1st Year Interns
	Post 2nd Year Interns
	Intern
	Foreign
	Psychometry/Registered Counsellers

I HEREBY APPLY TO BE A MEMBER OF THE FOLLOWING DIVISIONS:

Clinical

	Type	Price
	Full Member	R150
	Associate	R150
	Student	R45
	Affiliate	R150
	None

Counselling

	Type	Price
	Full Member	R120
	Associate	R120
	Student	R60
	Affiliate	R120
	None

Industrial

	Type	Price
	Full Member	R120
	Associate	R120
	Student	R75
	Affiliate	R120
	None

Research

	Type	Price
	Full Member	R60
	Assocaite	R60
	Student	R10
	Affiliate	R60
	None

Clinical Hypnosis

	Type	Price
	Full Member	R315
	Associate	R315
	None

Neuro / Forensic

	Type	Price
	Full Member	R100
	None

Health/Sport

	Type	Price
	Fulll Member	R50
	Associate	R40
	Student	R20
	Affiliate	R40
	None

Psychometry

	Type	Price
	Full Member	R50
	Student	R30
	None

Educational

	Type	Price
	Full Member	R50
	Associate	R50
	Student	R20
	Affiliate	R50
	None

New Member Enrolment Fee

	Type	Price
	Full/Assocaute/Affiliate	R114
	Psychometrists/Re. Counsellers	R70
	Student Member	R38
	1st Year Interns	R57
	2nd Year Interns	R85.5
	Foreign Member	$25
	None

STEP 3 : Payment Details

Please select your payment option below:

EFT / Direct Bank Deposits

You may deposit directly into our bank account. The details are:

Bank: ABSA Rosebank
Branch Code: 630-805
Account: Current Account No. 16-3016-5098

Please fax or post a copy of the deposit slip together with your registration form (address above, fax number + 27-11-486 3266/77).

Cheque

Please make cheques payable to PsySSA and post together with your registration form to:

PsySSA Membership Management,
P.O.Box 989
Houghton
2041

Credit Card

If paying by credit card, please fill in the information below: Credit Card

Credit Card:
Credit Card Number:
Expiry:
Cvv:

Optional: Download The Application Form

Please note: For a speedier application, we encourage future members to fill in the form online.

Click here to download the Membership Application Form

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