490114821.

xlsx - page 1 of 2

v2019/09

APPLICATION FOR MEMBERSHIP

490114821.xlsx - page 2 of 2

2019/20v2

APPLICATION FOR MEMBERSHIP

Please tick the category of membership you are applying for:
< Full Member < Full Member < Full Member
x x x
ACCOMMODATION HEAD OFFICE(1) TOURISM OPERATIONS
< Full Member INDEPENDENT < Full Member INDEPENDENT < Full Member INDEPENDENT
x CATERING SERVICE(1) x CONFERENCE CENTRE(1) x RESTAURANT(1)

< Full Member MARKETING

x Companies(1) x < Supporting Member (2) x < Associate Member(2)

Please fill in, mark or circle ALL of the applicable fields, as this information is needed for the H·A·N database AND for your web
page on the H·A·N web site www.HANnamiba.com

We prefer to have this form returned to H·A·N by email, as only electronically provided data can be processed!

Yet we kindly request you to please return the first page with your signature by mail as PDF of fax to 088617807 (Fax2Mail)

Please note that your application will only be decided upon by the H·A·N Executive Committee after all information is provided.

NAME OF ESTABLISHMENT:
NAME OF COMPANY:
(full name as registered with Trade & Industry)
POSTAL CODE (new Namibian Postal Code!):

P.O. BOX:

POST OFFICE:

COUNTRY:

TELEPHONE DIRECT:

YOUR WEBSITE ADDRESS

NTB Registration Number

VAT registration YES / NO #:

Name of Representative to HAN

- TITLE: (Mr. or Mrs. or Mr/s. if couple)

- FIRST NAME: (full FIRST NAME please)

- SURNAME:

- CELL PHONE:

- EMAIL:

- NATIONALTY / Citizenship:
Membership fees are payable annually to the 1st of March, membership year running to 28/29th of February.
For details on these fees please see the last page of this form
This Membership Application Form consists of 5 pages

I / we undertake to be bound by the constitution, the Code of Conduct and the Rules of H·A·N
PRINT NAME

Application for membership filed by: DATE

Application signed by: TITLE:

Application received on: DATE

Approved by Executive Committee on: DATE SIGNED

Box 86078
Windhoek, Namibia
Tel.: +264-61-222904, Fax: +264-088617807
email: Head Office: gittap@HANnamibia.com