VISITOR FORM - LIMPOPO
JACK BOTES HALL, POLOKWANE
Name:
Surname:
Age:
Contact Number:
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Residence:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Tick
YES (and name of stokvel)
NO
Do you belong to a stokvel?
How many Stokvels do you belong to?
What is the purpose of the stokvel?
Burial
Grocery
Savings/Investment
Leisure
How many members are there in your stokvel?
Meeting days?
Saturday
Sunday
Weekdays
Next Meeting?
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Month
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Day
Year
Date
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