Bavarian Springbok Club

Application form

Please complete form for all family members

Family Name	First Name	Date of birth	Profession
	1
	2
	3
	4
	5
	6

Home Address:		Communication:
Address		Home Phone		Work Phone
Postcode		Mobile Phone		Home Fax
Town				Work Fax
Country		Email
Newsletter	pref. perEmail	per Fax	per Mail	important please state

I am prepared to help with:

Organizational activities
Hosting a venue
Secretarial work
Food

Wine

Other

Cheque with 20.- € will be posted

Transfer made to Bavarian Springbok Club,

      HypoVereinsbank, Kontonummer: 2806460, BLZ: 70020270

Please send this form to:

G. Gundelfinger (Chairlady), Brünnsteinst.13 85540 Haar Fax: 089-4393717