Bonanza Networking Brunch

Name and Surname *enter your name and surname
Date of birth *enter your date of birth
Gender *
Occupation *
Company/ Organisation that you are representing *
Are you an entrepreneur or what is your position within the company? *
Cellphone Number *enter your contact number
Email *enter your email
Will you be playing golf? *
Are you a Bonanza Member? Please provide your membership number: *pay member rates for golf: Networking and 9 holes at: K350 ea Networking and 18 holes at: K400 ea
Do you require use of the data projector? *During your 5-minute introduction to the audience, where you introduce yourself and your company - will you have a flash drive on you that you would like to project a short Power Point presentation?
Method of payment: *All payments are due by 14/08/2018 - whether it be by cash, card, eft or deposit. Please ensure you send proof of payment to: samanthah@uniongold.co.zm and make sure to reference your surname! Bonanza Banking Details: BANK: Stanbic Lusaka Main ACCOUNT NAME: Protea Leisure Limited ACCOUNT NUMBER: 9130000734962 BRANCH NAME: Lusaka Main BRANCH CODE: 04002 REFERENCE: SURNAME_NETWORKING

Bonanza Networking Brunch – Registration Form