Membership form | AFM Noordhuewel

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AFM Noordheuwel Membership Request

Surname*

Title*

First names of man

First names of Lady

Occupation of Man

Occupation of Lady

Children living at home if applicable

Name of child 1

Age

Name of child 2

Age

Name of child 3

Age

Name of child 4

Age

Name of child 4

Age

Residential Address

Cell number of Man

Cell number of Lady

Email of Man

Email of Lady

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Contact Us

Office Number:

087 802 5752

011 954 1534

Email: afmkrugersdorp@gmail.com

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AFM Noordheuwel Church

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