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OFFICIAL APPLICATION FORM(Please print this form)
Name/Surname:____________________________________________
Address: ____________________________________________
__________________________________________________________
Telephone: (Home)______________ (Work) _____________________
Fax: _________________________
E-mail Address:____________________________________________
Age: ______________________________
Amount Enclosed: _________________________________________
Date: ______________________ Signature: _____________________
FOR OFFICIAL USE:
Membership Period: ________________________________________________
Please return to:
Shanaaz Parker School of Cooking,
P. O. Box 117, Retreat, 7965, South Africa
Fax: +27 21 7011701
E-mail:ashihara@iafrica.com
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