Bookings close on Monday 10 February 2014 and will be confirmed on proof of payment.
Queries please phone Carey Fisher on 011 647 3200 cfisher@roedeanschool.co.za

Surname:

Maiden Name:

First name:

Nickname:

Year of Leaving:

Birthday:

Postal Address:

Postal Code:

Telephone:

Fax:

Work:

Email:

Interests:

Profession:

Hobbies:

Description

Chapel Service

Tea

AGM

Drinks

Lunch

Specify Dietary Requirements

Specify Dietary if Other

Raffle Ticket

Roedean Birthday Gift / Donation

Would You Like To Play Tennis?

Would You Like To Play Squash?

Yes

No

Cost

R 200-00

Veg
Halaal
Kosher
Other

R 50-00  per ticket

R 111-00

Payment Method:

Direct Deposit To:
Account Name: SAORA
Bank: Standard Bank
Branch & Code: Rosebank, Jhb, 004305
Current Account No: 00 206 105 8
Swift Code (International): BZAZAJ


Any queries? Please contact Carey Fisher on:
Tel: +27 (0)11 647 3200 (Tel)
email: cfisher@roedeanschool.co.za