NLSA - Book Club Registration Form

Name of Book Club:

Type of Book Club:

Book Club language of discussion:

Responsible Person:

Contact Number:

Email :

Province:

Municipality:

Physical address:

Full name

Contact number

Email :

Full name

Contact number

Email :

For more information please contact Ms Itumeleng Maduwa by email at itumeleng.maduwa@nlsa.ac.za or info@nlsa.ac.za/ infodesk@nlsa.ac.za.