SPA Membership Form

Page 1

DIVINE CULTURAL CENTRE

Shree Parasakthi A alayam Cnr York & Park Street, Cravenby Estates, 7493, Western Cape, South Africa

NEW MEMBERSHIP FORM

NAME

SIGNATURE:

ADDRESS

TEL NUMBER

__________________________________

Membership Fees R20 p/a per person

EMAIL ADDRESS

DATE: _________________________ ______________

Monthly Donation min R20 per month


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