WASPAN Membership Application

Please complete the following form and kindly complete all the fields. WASPAN will then get back to you with feedback. Once completed your application will be sent through for approval.

Company full registered name *

Category

Company registration number *

Value Added Tax (VAT) registration number *

Website URL

Physical Address *

Main Representative Full Name *

Representative Email *

Representative Phone Number *

Where did you hear about WASPAN?

Required Consent

I give WASPAN consent to process the personal information provided using this form.

The information collected on this form will be used only for the purpose of processing your membership application, or in a manner consistent with the WASPAN membership agreement