SUPPORT RIIHS

ROBBEN ISLAND INTERNATIONAL HISTORICAL SOCIETY

A registered nonprofit organisation: 085-203-NPO

Our Island, Our Shared Heritage
APPLICATION FOR MEMBERSHIP

Submit the following details:

Title:
Surname:
First name(s):
Identity number:
Postal address:
Residential address:
Telephone number(s)
– Home:
– Work:
– Fax number:
– Cellphone number:
– Network: (E.g. Vodacom)
Email address:
Skype:
Reason for my being interested in RIIHS:
Activity/facet of RIIHS in which I am most interested: