MEMBERSHIP APPLICATION FORM 2017

Part 1

Application Type:
RenewalNew Application

Membership Category:

Vat Reg No:

Name of Business:

Type of Business:

Physical Address:

Postal Address:

Telephone No:

Cellphone No:

Fax No:

Email:

Website:

Contact Name:

Members Date of Birth:

Proof/Copy of Special Consent:

Star Graded:

Part 2

TELL US ABOUT YOUR BUSINESS

Please tick the boxes that are applicable to you. If you need assistance in completing this form please call 034 315 3318.

Accommodation Establishments

Description:

Total number of rooms:

Number of single rooms:

Number of double rooms:

Number of twin rooms:

Category:
BackpackersSelf CateringB & BGuest HouseLodgeHotel

Rates Per Person:

Self Catering:

B & B:

Dorms:

Single supplement:

Camping:

Special Group Rates:

Please select:
Long-term availabilityEn-suite – bath/ShowerAway from main houseAir – conConference facilities

Details:

Distance from CBD:

Facilities Offered:
Safe undercover parkingTea & Coffee in roomBarDisable friendlyFax/Email facilitiesPoolTVMNETDSTVDinner availableLaundryTennis courtCredit card facilitiesPets allowed


Restaurants & Food Establishments

Number of Seats:

Please select:
BarSecure parkingBreakfastLunchDinnerLive entertainmentA-la Carte menuBuffet

Specialty Details:


Clubs & Societies

Chairman's Name:

Date & Time of Meetings:

Meeting Venue:

Type of Club:


Corporate Companies

Product Type:

Nature of Business:


Tour Guides

Own vehicle:
YesNo

Area of Service:

Max Pax:

Languages:

Certificates & Licenses:


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