Membership No
Year Joined
Legal Entity
Trading As
Ind/Group	Individual       Group
Owners Full Name
DOB
Tel No
Fax No
Cell Phone
E-mail
Postal Address Line 1
Postal Address Line 2
Postal Address Line 3
Postal code
Physical Address
Physical Address Line 2
Physical Address Line 3
Postal code
Date Paid
Date of Renewal
No of outlets
Restaurant Type (Coffee Shop/Italian)
Liquor License	Yes      No
No Of Employees
Seating
Kids Area	Yes      No
Wheel Chair Access	Yes      No
SAMRO License	Yes      No
Website Address

JOIN RASA DINING:             rasadining@restaurant.org.za
JOIN RASA DIRECTORY:             directory@restaurant.org.za

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