HENTIES BAY TOURISM ASSOCIATION
POSTAL ADDRESS:  P.O. BOX 595, HENTIES BAY

 APPLICATION FOR MEMBERSHIP FOR THE PERIOD 1 MARCH 2009 TO 28 FEBRUARY 2010:  BUSINESS

 NAME AND NTB REGISTRATION NO (where applicable)
1^ST BUSINESS:                                                                                      NTB                     
2^ND BUSINESS:                                                                                     NTB                    
3^RD BUSINESS:                                                                                     NTB                    

 NAME OF OWNER/MANAGING DIRECTOR ....................................................

POSTAL ADDRESS
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PHYSICAL ADDRESS/FISIESE ADRES
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TELEPHONE NUMBER:                                                                     
FAX NUMBER:                                                                                   
E-MAIL ADDRESS                                                             
WEBSITE ADDRESS                                                                          

ATTACHED PLEASE FIND MY CHEQUE/CASH FOR                                       N$                     

1^ST BUSINESS:                                                                                                   N$                       
2^ND BUSINESS:                                                                                                  N$                        
3^RD BUSINESS:                                                                                                  N$                       

I HEREBY AGREE TO BE BOUND BY THE ASSOCIATION’S CONSTITUTION AND ALL AMENDMENTS THERETO

SIGNED AT    ..........................................  ON THE .......  DAY OF ............................... 2009

SIGNATURE                                                                                                            

BANK DETAILS: 
BANK WINDHOEK
SWAKOPMUND BRANCH: 481-772
ACCOUNT NO: 8000 252 384