Registration Form

Johannesburg

Southern Sun OR Tambo International
12 October 2010

 

Conference Rate:

R2 150 excl. VAT

 

Early-bird Discount

A 10% discount will apply for bookings made and paid for by 31 August 2010.

 

Group Discount

A 10% discount will apply for bookings for 3 or more people from the same company, at the same time. Group bookings within the early bird period qualify for a 15% discount.

 

Please note that * denotes a required field.

 

 

Number of Delegates
Surname *
First Name *
Designation *
ID Number
Cell Number *
Email Address *

 

 

Company Name *
Telephone Number *
Fax Number
Postal Address *
Postal Code *
VAT Reg. Number *
Reference

 

 

 

Payment Details

Please note that an invoice will follow electronically once we have received your registration form. Banking details will be included.

 

 

 

Hosted by

High-Tech Security Solutions

in association with

Dr Craig Donald

 

 

 

Endorsed by:

 

 

Hosted by Hi-Tech Security Solutions in association with Dr Craig Donald