Competition Entry Form
Date
Area
Mr
Mrs/Ms
Age(Mr)
Age (Mrs)
Contact Number
Whatsapp Number
Email
OPC NAME:
Marital Status
Single
Engaged
Married
Divorced
When was your last holiday?
Where is your dream holiday?
How to you rate it as a holiday destination out of 10?
1
2
3
4
5
6
7
8
9
10
Gross Family Income.
N$0-N$25 000K
N$25 001-N$40 000K
N$40 001+
Do you make use of a :
Credit Card
Debit Card
Cash
submit