Online Registration Form.
Attendee details
Company details
Title
Mr
Ms
Mrs
Company Name
First Name
Postal Address
Family Name/Surname
Position
Suburb or City
Telephone
Postal Code
Fax
Country
Mobile
VAT Number
Email
Dietary Requirements
None
Halaal
Vegetarian
Kosher
Diabetic
No Shell Fish
No Special Requirements
C
onference Registration :
Conference Registration Fee:
Delegate Fee - R2 700.00 excluding VAT
Conference fee Include:
2 x Full day Conferencing
2 x Lunches
All Conference Collateral
All Tea and Coffee breaks
Welcome Cocktail
Registration.
Please select registration selection.
Yes ,
I will be attending the Appropriate Technology Conference - Registration Fee R 2700.00
excluding VAT
Yes ,
I will be attending the Welcome Cocktail Function - 03 September
( included in registration)
PAYMENT DETAILS:
Please indicate your method of payment.
Once you have submitted your registration , you will be forwarded an invoice for payment including banking details. Payment is only to be made into the conference account upon receipt of you invoice.
Confirmation of attendance will be send to you once proof of payment has been received
Registration Payment Type
Bank / Electronic Transfer
Bank Guaranteed Cheque
Credit Card
Credit Card Details
Credit Card Type:
VISA
MASTER CARD
AMERICAN EXPRESS
Card Holder Name:
Credit Card Number :
Expiry Date of Card
DD/MM
CVC Number
PAYMENT TERMS:
Please ensure all transfers make clear reference to the delegates being paid for (Name and Surname and PIN)
Once Payment has been made, proof of payment is to be faxed or e-mailed to the conference Secretariat.
Fax to (
011) 463 3265 or email conference
@soafrica.com
Confirmation of payment received will be provided in the form of an official receipt.
Without proof of payment your attendance cannot be guaranteed. You will not be able to register at the conference
.
Conference Terms and Conditions.
Payment prior to the conference is mandatory for attendance
Credit Card Facilities will be av
ailable at the conference
Registration will be confirmed if payment is received BEFORE 20 August 2007
If payment is not is not received by 24 August 2007, the registration will be cancelled
Should you cancel your registration BEFORE 24 August 2007 , a 5
0% of the paid registration fee will be refunded to you.
Should you cancel your registration AFTER 24 August 2007 , a 100% cancellation fee will be levied.
Registrants may send a substitute attendee for the event, if written notice is received before 20 August 2007 prior to the conference.
I accept above
Payments Terms as well as the Conference Terms & Conditions.
YES
For More Information contact the Conference Secretariat
Scatterlings Conference and Events
Phone: +27 11 463 5085
Fax: +27 11 463 3265
Taryn van Rooyen
confen@soafrica.com