South African Medical Association

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Invoice Information
	Invoice Addressed to Company
	Invoice Addressed to Client

Please provide your contact information
Name:
Surname:
Company Name:
Delivery Address:
Contact Number: Cell Number
Email Address:
SAMA Number:
MP Number:
Your Order No.: (If applicable)
Vat Number:

You are NOT eligible for the SAMA Member reduced pricing.

2023 electronic CCSA (eCCSA)

Number of copies / licenses	Price per unit
1^st Licence for SAMA Members	R 750.00/licence
1^st Licence for Non-SAMA Members	R 1150.00 /licence
2^nd - Unlimited Licences	R 950.00 /licence

Number of Units:

Cost

R 0.00 Excl

R 0.00 VAT

Total R 0.00 Incl

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