SAPICS: Conference 2008 >> Delegate Application

Delegate Application

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Tel: +27 11 805 5677	Fax: +27 11 315 3311

with the participation of

You will receive an email confirming your registration. If you do not receive an email, your application form has not been received and you are not registered!

Delegate Information

		First Name	Last Name
Name:

Company

VAT Number:

Job Designation:

APICS Certification ( if applicable ):

CPIM

CFPIM

CIRM

CSCP

Tel number:

( )

Fax number:

( )

E-Mail:

Cellphone number:

( )

	Postal Address
P.O. Box / Address:
Town:		Postal Code:

Special Dietary Requirements?

Halaal

Kosher

Vegetarian

Other:

Other Special Requirements?

Other:

Attending Gala Dinner?(No additional charge)

Yes

Special Billing Instructions (if applicable)

		First Name	Last Name
Name: (of person to whom invoice should be sent)

Company Name for billing purposes:

	Postal address to which invoice should be sent:
P.O. Box / Address:
Town:		Postal Code:

Please Register me as a Delegate to the SAPICS 2007 Annual Conference

EARLY BIRD REGISTRATION FEES (only applicable if registered and paid by 28th February 2009)
MEMBER OF SAPICS/SUPPLY CHAIN COUNCIL	R5,600.00 excl. VAT
NON MEMBER	R6,200.00 excl. VAT

Membership Type:
Membership Number:	(Not Applicable if Non-Member)

Delegate Companion @ R 850.00 excl. VAT

		First Name	Last Name
Name:

Special Dietary Requirements?

Halaal

Kosher

Vegetarian

Other:

Other Special Requirements?

Other:

Attending Gala Dinner(No additional charge)

Yes

How did you hear about the conference?

Advertising ? Telemarketing ? Flier ? Word of Mouth ? Publication:

Terms and Conditions

FULL PAYMENT IS DUE ON APPLICATION FOR REGISTRATION, HOWEVER, A TAX INVOICE WILL BE ISSUED IMMEDIATELY UPON RECEIPT OF THE COMPLETED REGISTRATION FORM. REGISTRATION WILL BE CONFIRMED ONLY AFTER PAYMENT IS RECEIVED.

In the event of cancellation, 50% of fees will be credited provided cancellation in writing is received prior to the 16th June 2009. After that date, no credits or refunds will be made. You are however welcome to provide a substitute in your place. Please notify the Secretariat in writing of any such substitution.

SUBMISSION OF A REGISTRATION FORM SHALL BE DEEMED TO BE ACCEPTANCE OF THE ORGANISERS TERMS AND CONDITIONS, AND SHALL BE JOINTLY AND SEVERALLY BINDING ON APPLICANT AND THE APPLICANT'S CORPORATE ENTITY.
I Accept

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