Concrete Jungle registration form
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OFFICIAL Registration Form for Concrete Jungle - Scavenger Hunt and Family Day 2012.
![Concrete Jungle
(Scavenger Hunt and Family Day)
REGISTRATION FORM
Date: _________________
Category (circle one only): Corporate Team Open Team NGO Team University Team
Name of Institution: (For Corporate, NGO and University team categories only):
_____________________________________________________________________
Name of Team: ___________________________________________________________
Team Captain Name: _______________________________________________________
Team Member 1:__________________________________________________________
Team Member 2:__________________________________________________________
Team Member 3:__________________________________________________________
Contact Person (if not the same as Team Captain): __________________________________
Contact’s phone number/s: __________________________________________________
Contact’s E-mail Address: ___________________________________________________
(N.B. Registration is only valid when full payment is made. A “no refund” policy is in effect.)
DEADLINE for Registration and Payment is Monday 26th November, 2012, 4:00pm.
Forms of payment are as follows: cash/cheque drop off at KIND or mailed, bank deposit (First Citizens Bank
993946) or through either of the VCTT committee members. All cheques are to be made payable to KIND.
------------------------------------------------------------------------------------------------------------------------
FOR OFFICIAL USE ONLY
Status: [] Registered [] 50% Down payment [] Paid in Full
Authorized signature: ____________________________ Date: _____________________](https://image.slidesharecdn.com/concretejungleregistrationform-121017105032-phpapp01/85/Concrete-Jungle-registration-form-1-320.jpg)
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Concrete Jungle registration form
- 1. Concrete Jungle (Scavenger Hunt and Family Day) REGISTRATION FORM Date: _________________ Category (circle one only): Corporate Team Open Team NGO Team University Team Name of Institution: (For Corporate, NGO and University team categories only): _____________________________________________________________________ Name of Team: ___________________________________________________________ Team Captain Name: _______________________________________________________ Team Member 1:__________________________________________________________ Team Member 2:__________________________________________________________ Team Member 3:__________________________________________________________ Contact Person (if not the same as Team Captain): __________________________________ Contact’s phone number/s: __________________________________________________ Contact’s E-mail Address: ___________________________________________________ (N.B. Registration is only valid when full payment is made. A “no refund” policy is in effect.) DEADLINE for Registration and Payment is Monday 26th November, 2012, 4:00pm. Forms of payment are as follows: cash/cheque drop off at KIND or mailed, bank deposit (First Citizens Bank 993946) or through either of the VCTT committee members. All cheques are to be made payable to KIND. ------------------------------------------------------------------------------------------------------------------------ FOR OFFICIAL USE ONLY Status: [] Registered [] 50% Down payment [] Paid in Full Authorized signature: ____________________________ Date: _____________________