REGISTRATION FORM

PERSONAL INFORMATION
Name*
First Last
COUNTRY SECTION*
Member N° (Your number on Book of Members)
MEMBERSHIP STATUS
Occupency*
2nd Person
Name*
First Last
Bed Type
SPOUSE’S PROGRAM (2nd Person) : Please select one of the following spouses's program.
- Pikala
- Rakssa
- Kanoone
CITY TOURS (2nd Person) : Please select one of the following city tours
- Couscous
- Tagine
- Pastilla
Email*
Phone*
Name of Hotel
MODE OF PAYMENT
Mode*
- BANK TRANSFER
- PAYMENT TO YOUR COUNRY SECTION
PROGRAM AND ACTIVITIES
SPOUSE’S PROGRAM : Please select one of the following spouses's program.
- Pikala
- Rakssa
- Kanoone
CITY TOURS : Please select one of the following city tours
- Couscous
- Tagine
- Pastilla
SPECIAL REQUEST
TRANSPORT INFORMATION
Arrival Time*

: HH

MM
Flight Number*
Daparture Time*

: HH

MM
Flight Number*
Total :
Total :
Name
This field is for validation purposes and should be left unchanged.

PERSONAL INFORMATION

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