Please copy or print this form and e-mail or fax to Mark Aitken

Name:     Spouse:    
           
Tel. No.:     Tel.No.:    
           
Fax No.:     Fax No.:    
E-mail:     E-mail:    
           
Sports interested in playing     Sports interested in playing    
  Social Comp.   Social Comp.
           
           
           
           
           
           
If you play golf please state official handicap and golf course          
membership.          
Any additional comments or suggestions:          
           
           
           
           
           
           
           
           
Please reply to:          
Fax: 750 7110 or E-mail: kris_gm@rad.net.id          


Last Updated on 23-Mar-00
By David Newsham