AGM 2019 Registrations - Round Table Namibia Area

Name *

First

Last

Table Name and Number *

Example: Walvis Bay 36

Spouse Name

First

Last

Child / Children's Names

Email *

Cellphone Number *

Number of Adults (N$500 per person) *

Number of Children Attending (N$250 per kid)

Ladies Tour - Boat Cruise (N$300 pp)

Yes
No

Additional Notes - Food Allergies etc.

PLEASE NOTE: ---- Registrations Close 8 February 2019 ---- No Baby Sitting ---- Menu Will be Provided when we have it ---- Family Friendly ---- Will be held at the Walvis Bay 36 Clubhouse ---- Bank Details: Bank Windhoek, Acc number : 8012777101 Branch: 481872 Walvis Bay, Reference: Name and NAMAGM2019 ---- Email Proof of Payment to RT36TREASURER@OUTLOOK.COM ---- THEME: HAWAIIAN ---- DATE: 22 and 23 February 2019