Bantu Hikers Membership 2017 Application
Email address *
Name *
Your answer
Surname *
Your answer
Cell Number *
Your answer
Profession *
Your answer
Reasons for joining Bantu Hikers? *
Required
Would you be available to offer additional support *
Required
T-shirt Cut *
T-shirt Size *
Bantu Hikers Membership Fee
R200

Inclusive of:
1. Bantu Hikers Branded Tee
2. Entry at two Nature Reserves in 2017

You will get your tee at the next hike or you can get it couriered for an additional R50.

Bantu Hikers
Bank: First National Bank
Account Type: Cheque Account
Account number: 62642020028
Branch Code: 250655
Reference: Your Name and Surname

T-shirt delivery: Address
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service