Address Update Form Back to Shareholders
 
Please fill in your details and click on the "Submit Your Form" button below.
Your request will be processed upon receipt of your e-mail.
 
Date of change of address:
Magalies Park Membership Number:
Account Number:
 
OLD CONTACT INFORMATION
Contact name:
Telephone:
Fax:
E-mail Address:

Important - please complete this field for confirmation purposes
Postal Address:  
Post Office Box/Street:
City/Town:
Postal Code:
Country:
 
NEW CONTACT INFORMATION
Contact name:
Telephone:
Fax:
E-mail Address:

Important - please complete this field for confirmation purposes
Physical Address:  
Street:
City/Town:
Postal Code:
Postal Address:  
Post Office Box/Street:
City/Town:
Postal Code:
Country:

Comments / Special Instructions or requirements:

Thank You!


Nota: Hierdie vorm is op versoek in Afrikaans beskikbaar




 12 July 2000