Bonnijon Ngome Pilgrimage Booking Request

  1. Please provide the following information for each person attending:
       S These fields MUST be filled-in - others are optional but preferred

    First Name   S

    Surname

    		   S
    Title (Mr., Mrs., Ms, etc.)   S

    Pet / Nickname

    		     
    Street Address     

    Postal Address

    		  S
    Address (cont.)      Postal address (cont.)     
    City      City     
    Country      Country     
    Work Phone      Postal Code     
    Facsimile      Home Phone   S
    E-mail address      Cellular Phone     

  2. Next-of-Kin details:

    First Name   S

    Surname

    		   S
    Title (Mr., Mrs., Ms, etc.)   S Home Phone   S
    Street / Mail Address   S

    Work Phone

    		       
    Address (cont.)   Facsimile     
    City    Cellular Phone     
    Country      E-mail address     
    Post Code     

  3. Details of the scheduled pilgrimage you wish to attend:

    From date 
      dd-mm-yy

    to date
    dd-mm-yy

    Organizer(s)

    comments

  4. Dated:      dd-mm-yy 

Please complete and print this form and fax to 011 792 7029

Please note… Your pilgrimage organizer will provide you with departure dates and times as well as cost.  Times are approximate and dependent upon driving conditions. While every effort is made to maintain punctuality, you are reminded that unavoidable delays can arise and that you should make prior arrangements to cater for such an eventuality.  While appropriate precautions are taken to ensure your personal safety, the organizers accept no responsibility or  liability in the event of any injury, death, loss or damage of any nature arising through any cause whatsoever.

Copyright © 2002 [Bonnijon]. All rights reserved. Revised: July 21, 2002