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

 APPLICATION FOR MEMBERSHIP FOR THE PERIOD 1 MARCH 2011 TO 28 FEBRUARY 2012:  INDIVIDUALS

 

FULL NAME...................................................................................
IDENTITY NUMBER..........................................................
POSTAL ADDRESS
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RESIDENTIAL ADDRESS
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TELEPHONE NUMBER................................................... 

ATTACHED PLEASE FIND MY CHEQUE/CASH FOR N$100.00

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

 

SIGNED AT     ...........................................   ON THE  ....................................     DAY OF     ................................2011                                                                                                   

SIGNATURE:                                        

 

BANK DETAILS: 
BANK WINDHOEK
SWAKOPMUND BRANCH: 481772
ACCOUNT NO: 8000 252 384
Fax to: +264-64-501142