Network SA©
Social Event Network

Please fill in this form so that we can keep you informed of Social Events


Title
Name
Surname
Nick Name
Email Address
ID No
(First 6 digits only please)
Are you
Married
  Divoced
  Single
  In a relationship
Your partners name
Children's Ages
Your Address
 
City / Town
 
Postak Code
Postal Address
 
City / Town
Province
Postal Code
Where do you work?
Your Work Title
Telephone Numbers
Work
  Home
  Cell Phone

WHAT ACTIVITIES WILL YOU PARTICIPATE IN
PLEASE TICK THE ACTIVITIES THAT YOU REALLY WILL PARTICIPATE IN
THAT WAY WE CAN PLAN EXACTLY WHAT OUR MEMBERS ENJOY DOING
OUTDOOR / ADVENTURE
 BOAT TRIPS
  CAMPING
  HIKING 3-5 DAY
  DAY WALKS
  MOUNTAIN BIKING
  ROAD CYCLING
  SAFARIS
  PHOTOGRAPHIC COURSES/SHOOTS
ARTS & CULTURE THEATRE EVENINGS
  DINNER PARTIES
  WINE TASTING EVENINGS
  INFORMAL PARTIES
  DANCING
  RESTAURANT EVENINGS
  GAME EVENINGS
  BRAAIS
  MUSIC CONCERTS
  BUSINESS BREAKFASTS
WEEKEND BREAKS TRAIN TRIPS
  BUS TRIPS
  BREAKS WITH CHILDREN
SPORT PARAGLIDING
  PARACHUTING
  SCUBA DIVING
  TENNIS
  WILDLIFE
  HORSE RIDING
  GOLF TOURS /DAYS
  GO KARTING
TRAVEL LOCAL
  NATIONAL/REGIONAL
SOUTHERN AFRICA
  INTERNATIONAL
OTHER SUGGESTIONS
OR PLEASE COMMENT


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All information submitted to Network SA is for administrative purposes only
and is treated with complete confidentiality



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