Organisation Membership Details

Organisation Membership Application

Maximum file size: 10MB

Please upload any brochures or a profile of your organisation or business unit/department in PDF format, explaining what you do and who you are.

All details and information submitted is strictly confidential.

Organisation Details

Please identify all information for the organisation.
ZAR
Please exclude VAT
ZAR
Please exclude VAT
SECTOR(S) in which research was done by the organisation in the last 12 months
Categories are based on the ESOMAR global classification system.
Yes
No
Manufacturing: Consumer Non-Durables (FMCG)
Manufacturing: Consumer Durables
Manufacturing: Pharmaceutical products and services (Rx – prescription)
Manufacturing: Automotive
Manufacturing: Other
Business-to-business and industrial
Wholesale and retail (incl. oil, commercial farming, agriculture)
Financial services
Utilities (incl. gas, electricity, water, private and public postal services, etc.)
Telecommunications and Information and Communications Technology
Public sector, academic and public institutions, NGOs
Media, entertainment, tourism and hospitality
Advertising agencies, Strategy and communications companies, Brand consultants
Research institutes
QUANTITATIVE methods used by the organisation in the last 12 months
Categories are based on the ESOMAR global classification system.
Yes
No
Postal mail self-completion questionnaire
Telephone interviewing (CATI) (including CATI to mobile)
Face-to-face interviewing (PAPI/CAPI)
Self-completion questionaire using an online device
Online traffic / audience measurement, including website measurement
Automated digital/electronic including retail audits and media measurements and interactive voice recording interviews
QUALITATIVE methods used by the organisation in the last 12 months
Categories are based on the ESOMAR global classification system.
In-person/face-to-face (not online)
Online/internet-based
Both
None
Group discussions / focus group interviews
In-depth (individual) interviews
Communities and panels
Self-reporting (e.g. vox pops, blogging, written diaries, photo diaries)
Observation (e.g. ethnography, immersions, shopper research)
BIOMETRIC MEASURES used by the organisation in the last 12 months
Categories are based on the ESOMAR global classification system.
Yes
No
Facial coding
Eye-tracking
Functional magnetic resonance imaging (fMRI)
Positron emission tomography (PET)
Electroencephalography (EEG)
Steady state topography (SST)
Transcranial magnetic stimulation (TMS)
Electro Dermal Activity (EDA)/galvanic skin response
Electromyography
Electrocardiography (ECG)
Implicit Association Test (IAT)
DESIGNS used by the organisation in the last 12 months
Categories are based on the ESOMAR global classification system.
Yes
No
Ad hoc research
Omnibus (syndicated) surveys
Panel research
Other continuous tracking research

Proposed Associate Members

All permanent full-time and part-time employees who take any level of responsibility for or work directly with data, analytics, research, sample, panel, research-related information technology and software, and/or related consulting/advisory services and products, as at date of submission of the Associate list. Please exclude any temporary employees or independent contractors.
I hereby certify that:

Authorised Representative Details

Please identify the proposed SAMRA authorised representative for the organisation. The authorised representative is the person authorised by the organisation to transact with SAMRA on behalf of the organisation. Although we communicate with all SAMRA members, the authorised representative is also the person that ALL SAMRA communications  go to.
Title
Name
Name
First
Last

HR Management Representative Details

Please provide the contact details for the person responsible for Human Resources. SAMRA offers services that are specific to talent development in the industry, such as a bursary service and job search service. Information about these services are sent to the nominated human resource person at Organisation members periodically. If there is no person that you would like to nominate here, the authorised representative for the organisation member can be supplied again here.
Title
Name
Name
First
Last

Billing Information

Name
Name
First
Last
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country
Delivery Address
Delivery Address
City
State/Province
Zip/Postal
Country
If you select yes, SAMRA will not issue a tax invoice to the organisation but instead a quote (proforma invoice), until an order number has been supplied to SAMRA by the organisation.
i.e. for SAMRA Accredited Marketing Researchers and SAMRA Partners

Terms and Conditions

I, the authorised representative for the above organisation, transferring my Independent Membership to SAMRA Organisation Membership, hereby certify that:
Select Yes to indicate agreement
Yes
The information set out in this submission is true and correct to the best of my knowledge.
The above organisation will abide by the Southern African Marketing Research Association (SAMRA) Memorandum of Incorporation and Company Rules, and the SAMRA Code of Conduct.
I undertake, on behalf of the above organisation, to ensure payment of any fees due to SAMRA.
I understand that, if approved, the organisation will remain a member of SAMRA until such time as a valid resignation is submitted to and received by SAMRA, or membership is withdrawn by SAMRA.
The above organisation meets the criteria for SAMRA Organisation Membership.

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