Delegate Companion 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
Job Designation:
E-Mail: Cellphone number: ( )
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 on 1ST July 2008? (No additional charge)
  Yes No
N.B. A late payment surcharge of 20% is payable on any outstanding registration fees after 3rd June 2007
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 May 2008. 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