KGOTHALO EVENTS MEMBERSHIP FORM

MEMBERSHIP FORM

Please fill in this form to apply for membership.
Call: 087 821 6217

Email: info@kgothaloevents.com

Website: www.kgothaloevents.com
Personal Details
Date

DayMonthYear
Date
Name*

First NameSurname
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Contact Number*
Email Address*
Membership Options & Pricing
Membership Type*

Parties - R250.00 p/mWeddings S - R1 500.00 p/mWeddings L - R5 500 p/mFunerals - R550.00 p/mKindergarden & Nursery - R550.00 p/m
To be completed by owner
Institution
Address of the institution
Representative
Declaration
I {name} confirm that all information given is true and correct. In accepting the membership, I agree to abide by the terms & conditions. I hereby declare that Kgothalo Events (Pty) Ltd has the right to use the information for the purpose of the membership. I understand that the membership application is subject to approval by the sales department and that the membership subscription fee is non-refundable. I understand that it is my responsibility to notify Kgothalo Events (Pty) Ltd of any change in my personal particulars. Kgothalo Events will not be responsible for any loss or damage that may arise due to incorrect or outdated records. I understand that my membership will only be activated upon membership fee payment.
Signed at:*
Date

DayMonthYear
Date
Signature*

Clear
Banking Details
Bank: Standard Bank
Branch Name: Wilkoppies Branch
Account Holder: Kgothalo Events (Pty) Ltd
Account Number: 10152242935
Reference Number: Membership Number
For Office Use Only
Representative: _____________________________

Date: ________________________________________

Signature: ___________________________________
Should be Empty:

MEMBERSHIP FORM

Personal Details

Membership Options & Pricing

Declaration

Banking Details

For Office Use Only