FRIENDSOFWORCESTER/BUZZ-&-CONNECT
Contact Person - Nadia Stander - 081 366 1841
Membership Form
Please provide all required details to register your business with us.
Business Owner
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
LOGO
*
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Type of Business
*
Please Select
ACCOMMODATION
BUILDING, DIY, HOME IMPROVEMENTS
ELECTRONICS, IT & TECHNOLOGY
FINANCIAL & LEGAL
HEALTH, BEAUTY & WELLNESS
LEISURE, ADVENTURE & ENTERTAINMENT
MEDICAL
MOTORING
PUBLIC SERVICES
RESTAURANT GUIDE
RETAIL / WHOLESALE
SERVICES OFFERED
TUITION CHART & EDUCATION
WEDDING & FUNCTIONS, VENUES
Others, please specify below.
Other
*
Business Name
*
Short Description
Give a short description about your business
Trading Hours
*
Rows
Time
Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Contact Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Website
https://example.com
Facebook Page
https://facebook.com/example
Instgram
https://instagram.com/example
WhatsApp
https://wa.me/27123456789
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
RECRUITED BY (The person who introduced you to friendsofworcester)
friendsofworcester PLAN OPTIONS
*
MEMBERSHIP/BUZZ-&-CONNECT/BUZZ-MARKETING - R149-00 P.M (Monthly Package)
MEMBERSHIP/BUZZ-&-CONNECT/BUZZ MARKETING R1788-00 P.A (Year Package)
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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