Afrique International, Inc.
MEMBERSHIP FORM
Please print, complete & mail this form to the above address.
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I want to join the exclusive membership club of Kendejah.
Membership Category: (please circle one and enclose check or money order)
Annual - $150: Biannual - $100
Name: ___________________________________________________________
Address: __________________________________________________________
Address1: _________________________________________________________
Phone: ______________________ Cell Phone: __________________________
E-mail: ________________________ E-mail1: __________________________
Birth Month/Day (year not necessary): _____________________________________
Favorite Food(s) (circle as many):
Fufu & Soup, Jollof Rice, Cassava Leaf & Rice, Collard Greens & Rice,
Palaver Sauce & Rice, Palmbutter & Rice, Bitter Leaf & Rice/Fufu, Dumboy & Soup, Plantain; Fried Fish; Baked Fish.
Other: _____________________________________________________________________
Please see our menu at http://www.kendejah.com/menu.doc for other items.
Favorite Music (circle as many):
African, Soukous, Makossa, Reggae, Jazz, R&B, Rap, Acid Rap, Hip Hop, Rock, Hard Rock, Other:_______________________________________________________________________
Please note: Your annual membership renewal date will be based on your enrollment month.
Return to the our home page at http://www.kendejah.com.