REGISTRATION FORM

Please fill in all the fields marked with a *

Title:
Name: *
Surname: *
Company: *
Phone No: *
Fax No: *
Mobile No: *
Email Address: *
Dietary Requirements: 
Conference Dinner: Y Yes I will be attending
HOTEL REQUIREMENTS

Single rate: R845-00 Per person, single accommodation, per night, bed & breakfast
Sharing rate: R512-00 per person, sharing accommodation, per night, bed & breakfast

Hotel:
Room Type:  
Arrival Date:  
Departure Date: