E-Mandate

Electronic debit order mandates for your business.

(DD) #45 NEA001 – NEASA

I hereby apply for membership of the National Employers’ Association of South Africa (NEASA).

You are welcome to call us on 012 332 5350 should you require any assistance with completing of the form or should you need any further information regarding NEASA’s services.

Step 1 of 4

25%

Service
- Employers' Association
- Labour Compliance
Package*
Number of Employees*
Please enter a number greater than or equal to 1.
IR and LABOUR COMPLIANCE AUDIT (OPTIONAL)
- Quote me on an audit
Platinum Package
Registration Fee*
- R1325
(VAT Incl.) For businesses employing 10 or less employees
Registration Fee*
- R2230
(VAT Incl.) For businesses employing 11 or more employees
Monthly Fees*
- 1-3 Employees (R570 Fixed Amount)
- 4-20 Employees (R155 Per Employee)
- 21-50 Employees (R145 Per Employee)
- 51-100 Employees (R135 Per Employee)
- 101-200 Employees (R110 Per Employee)
- 201-300 Employees (R86 Per Employee)
- 301-500 Employees (R75 Per Employee)
- 501-1000 Employees (R57 Per Employee)
- 1001+ Employees (R46 Per Employee)
- Special / group price
Membership Benefits Include:
- Unlimited access to the NEASA resource library
- Unlimited access to the NEASA Hotline
- Disciplinary hearings
- Conciliations
- Arbitrations
- Union negotiations
- Representation at Industry Bargaining Forums
- Dispute resolutions
- Compliance matters
- Exemptions
- Retrenchment consultations
- Regular newsletters and industry updates
Fixed Price
Special / Group Price
Per Employee (Terms and Conditions apply)
Package Cost (Initial)*
This is your initial fee which includes your registration fee.
Package Cost (Monthly)*
This is your monthly fee.
Gold Package
Registration Fee*
- R860
(VAT Incl.) For businesses employing 50 or less employees
Registration Fee*
- R2230
(VAT Incl.) For businesses employing 51 or more employees
Industry*
- MEIBC
- Other
Monthly Fees*
- 1-10 Employees (R680)
- 11-50 Employees (R820)
- 51-1000 Employees (R975)
Monthly Fees*
- 1-10 Employees (R320)
- 11-50 Employees (R435)
- 51-100 Employees (R550)
- 101-200 Employees (R685)
- 201-300 Employees (R860)
- 301-500 Employees (R1090)
- 501+ Employees (R1360)
Membership Benefits Include:
- Unlimited access to the NEASA resource library
- Unlimited access to the NEASA Hotline
- Fixed and subsidised disciplinary, conciliation & arbitration fees
- Regular newsletters and industry updates
- Representation at Industry Bargaining Forums

Disciplinary Hearing	In limine / Rescission	Conciliation	Arbitration	Other Consultation
R2340 per hearing - form first 4 hours. Thereafter R1650 per hour.	R2100 Fixed Fee (per process) PLUS R1650 Fixed Fee - drafting, service and filing - when applicable	R2100 Fixed fee	R6150 Fixed fee	R1650 Per hour

Package Cost (Initial)*
This is your initial fee which includes your registration fee.
Package Cost (Monthly)*
This is your monthly fee.
Silver Package
Industry*
- MEIBC
- ROAD FREIGHT
- Other
Monthly Fee: R60
Membership Benefits Include:
- Unlimited access to NEASA website
- Unlimited access to NEASA hotline
- Fixed disciplinary, conciliation & arbitration fees
- Regular newsletters and industry updates
- Representation at Industry Bargaining Forums

Disciplinary Hearing	In limine / Rescission	Conciliation	Arbitration	Other Consultation
R2875 per hearing - form first 4 hours. Thereafter R1980 per hour.	R2550 Fixed Fee (per process) PLUS R1980 Fixed Fee - drafting, service and filing - when applicable	R2550 Fixed fee	R7500 Fixed fee	R1980 Per hour

Package Cost (Monthly)*
This is your monthly fee.

Business Information:
Business Name*
Industry*
Bargaining Council Reg. No.
Contact Person*
Name Surname
Email*
Cell No.*
Telephone No.*
Street Address*
No. & Street Address Line 2 City ZIP / Postal Code
Business Owner or Manager Name
Business Owner or Manager Cell Number
Business Owner or Manager Email

Labour Compliance
Last Financial Period Under Review
Annual Turnover for Last Completed Financial Period
% Black Ownership
% Black Woman Ownership
Payment Method:
Pay Using?
Credit Card Details:
Credit Card*

American Express
Discover
MasterCard
Visa
JCB
Maestro
Card Number Expiration Date Security Code Cardholder Name
Bank Account Details:
Account Holder*
Bank*
Branch Code*
Account Number*
Account Type*

Agreement:
Reference*
Contract Amount (Initial)
This is the initial fee payable which includes your registration fee.
Contract Amount (Monthly)
This is the monthly fee payable.
Debit Day*
Terms and Conditions*
General Terms
(a) I/We hereby apply for membership of the National Employers' Association of South Africa, and agree to abide by the constitution and rules of the Association, as well as any decision and/or resolution that the General Meeting or the Executive Committee may take from time to time.
(b) I/We hereby release the Association, it's office bearers, officials and members from any liability or claims in respect of any action committed in the execution of their responsibilities.
(c) I/We truly affirm that the content of this application form to be true and correct.
(d) This agreement binds the member for a minimum period of three (3) months, after which the member must give NEASA thirty (30) calendar days written notice should the member wish to cancel the agreement.
(e) Where applicable, payment for a disciplinary hearing, conciliation or arbitration must be paid to NEASA at least seven (7) days prior to any proceedings.
(f) The above fees do not apply for proceedings beyond finalisation of a matter at the CCMA or a bargaining council.
(g) It is the responsibility of the member to inform the NEASA regional office of the date of any pending matter at least seven (7) days prior to the date of said process, failing which NEASA cannot guarantee the availability of an official.
(h) Where applicable, board and lodging expenses, not exceeding R 750 per night, will be levied.
(i) The fee structure is based on initial information iro employees and case load provided by the member. NEASA reserves the right to review the fee structure in its sole discretion at any time should it become apparent that the information provided by the member was incorrect or where the circumstances of the member has changed.
(j) NEASA reserves the right to increase the monthly and/or additional fees of the member, by an inflation related rate, every 12 months from date of registration.
(k) I hereby consent to NEASA disclosing my information to its third party service providers.
(l) Travel will be charged at a rate of R 3,50 per km for gold package members in respect of any travel outside of a radius of 25 km from the closest NEASA office.This restriction will not apply to gold members within the areas of Greater Johannesburg, Pretoria, City of Cape Town and Durban.
(m) One (1) membership package upgrade or downgrade is permitted every 12 months from date of registration, unless written confIrmation has been obtained from NEASA Head Office.
Agreement Terms
Abbreviated short name as registered with the acquiring bank: NEASA. Refer to our contract reference number (“the Contract Reference Number”):
I hereby authorise NEASA to issue and deliver payment instructions to your banker for collection against my abovementioned account at my abovementioned bank on condition that the sum of such payment instructions will not differ from my obligations as agreed to in the Contract Reference Number.
The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.
I agree that the first payment instruction may be issued and delivered from the "Start Date" and thereafter regularly on the 1st of each month to the amount specified in the "Contract Amount" or any variable amount due under this agreement.
If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day; or subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Agreement have been paid or until this authority is canceled by me/us by giving you notice in writing of not less than the interval (as indicated in the previous clause) and sent by prepaid registered post or delivered to your address indicated above.
Mandate
I/we acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.
Cancellation
I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.
Assignment
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.
- I agree to the Terms and Conditions
Start Date*
Date Format: DD slash MM slash YYYY

This agreement is effective from the date of signing.
Signature
Signature verified by Bank

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Step 1 of 4

Platinum Package

Gold Package

Silver Package

Business Information:

Labour Compliance

Payment Method:

Credit Card Details:

Bank Account Details:

Agreement:

Mandate

Cancellation

Assignment