Member Application Form

Please fill in the application form below to apply for GBR4U membership, or alternatively you can download the form and fax/email it through to us. Click to download the application in MS Word format or PDF Format.

GBR4U (Pty) Ltd Pioneer No.:

Invited By:

Business Category:

Business Product / Service description:

Is this your Full-Time or Part-Time occupation?

Your Qualifications:

Are your qualifications linked to your current Occupation?

How many years in this occupation:

Business Name:

Business Street Address:

Business Suburb:

City:

Region / Province:

Country:

Business Telephone:

Business Fax:

Business Cell:

Business Email (Used to login):

Business Website:

VAT Number:

Is this your Own Business or Partner in Business?

If your are not the sole owner of this business, please answer the following three questions:

(1) Are you part of the business decision making:

(2) What is your position in the Business?

(3) If applicable, if you are not the owner/decision maker, what percentage of your income is commission based?

* Your Firstname

* Your Lastname

* Your Date of Birth

i. Do you agree that it is crucial for the Group business growth to attend the meetings every week?

ii. Do you agree to maintain to GBR4U's Fundamental Ethics as described above?

iii. Are you a member of any other type of business network?

If you answered yes to the above question, please list the other groups:

Leads based business is not accepted. Are you willing to keep your eyes and ears open for business for group members?

Are you prepared to promote business growth by inviting guests from time to time?

Do you understand that GBR4U is purely a vehicle to introduce a "willing" buyer and "willing" seller and cannot be held liable for any other occurrence that may happen?

Any additional information that you may wish to provide in support of your application:

References:

Please supply us with references who you have provided services / products for. This must exclude your introducer

Reference 1:

Reference 2:

GBR4U Member Fees:
R550 - Once-off Registration fee

12 Month Membership Fee:
R1,950 plus

R550 Registration Fee

Total Fee: R2 500

24 Month Membership Fee:

R3,100

R550 - Registration Fee

Total fee: R3,650

Please take Note:

GBR4U is not a VAT vendor
Once Accepted, and Paid, Fee's are Non-Refundable without exception.
Membership Committee decision is final.

No reason needed to be provided to the applicant on a non-acceptance of this application by the membership committee of the applicable GBR4U (Pty) Ltd Pioneer Group or any GBR4U (Pty) Ltd staff including Company Directors.

I, the Applicant, by ticking this tick box, accept the contents of this application and have read the Terms and Conditions and agree to adhere to these terms and confirm that all information provided by me on this application to be true to the best of my knowledge.

* - Required Fields