Diwali Programme Form

Diwali Programme 2009
ANTWERP INDIAN ASSOCIATION vzw
Member's Details
 
Name :
Firm's Name : Contact Info :
Tel :
Mobile :
Membership :      New (250.00 Euros)              Renewal ( 1- to 2010-11 : 251,250.00 Euros )
Members must collect the renewal and new membership receipt while paying.
Tickets : Total Family members :  
   Members above 16 years and their family :   x  60.00 Euros   x  90.00 Euros
       
       
       
   Children under 16 years :   x  30.00 Euros   x  50.00 Euros
   Children under 5 years (please mention) :
Other Member's Details
 
   Guests and Non members :    x   120.00 Euros    x   150.00 Euros
   Guests-Children under 16 years :    x   60.00 Euros    x   90.00 Euros
   Cooks, Maids & Servants :     x   25.00 Euros
   Parking Zoo :    x   25.00 Euros
   Parking Q :    x   25.00 Euros
   Sponsorship Amount: Euros
   Total : 501.00 Euros

ANTWERP INDIAN ASSOCIATION vzw
 
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