A.A.A.E & A.E.A.S.A Conference 19-23 September 2010

Complete the form below to register for this event.

DELEGATES DETAILS

Please complete a separate form for each delegate
Surname/Family name:
First name:
Title
Organisation:
Department/Section:
Designation:
Postal address:
Postal code:
City:
Country:
Tel No:
Cell No:
Fax No:
E-mail address:

ACCOMPANYING PERSON DETAILS
Surname/Family name:
First name:
Title
Organisation:
Postal address:
Postal code:
City:
Country:
Tel No:
Cell No:
Fax No:
E-mail address:

INVOICE DETAILS
Company Name:
Postal address:
Postal code:
City:
Country:
VAT NO:
Order No:
Purchase Order:
For attention:
Tel No:
Fax No:
E-mail address:

CONFERENCE REGISTRATION

Please note: The fees below are in ZAR (South African Rand) and must be paid in ZAR.
Standard 1 + A.A.A.E membership R 4 000.00
Standard 2 + A.E.A.S.A membership R 4 050.00
Standard 3 - A.A.A.E & A.E.A.S.A membership R 4 300.00
Standard 1 - Per day + A.A.A.E membership R 1 550.00
Standard 2 - per day + A.E.A.S.A membership R 1 600.00
Standard 3 - per day + A.A.A.E & A.E.A.S.A membership R 1 850.00
NB: Early Bird fee is applicable for all registrations received before 17 September 2010

ACCOMMODATION

Please reserve the following accommodation for me. Rates are per person and inclusive of breakfast.









ARRIVAL DATE
DEPARTURE DATE
Other:
Rates are subject to change, increase and availability at time of receiving your registration. Accommodation is only confirmed once full payment has been received. *Hotels Terms and conditions apply*

DISABILITY ACCESS
Requirements:

SPECIAL REQUESTS
Dietary requirements:
Other:

TRANSFERS

Please reserve the following transfers:
Airport/Hotel:
Arrival date:
Arrival time:
Flight no:
Hotel or Address:
Hotel/Airport:
Departure date:
Departure time:
Flight no:
Hotel or Address:
Hotel / Conference venue:
Date:
Time:
Collection address:
Conference venue / Hotel:
Date:
Time:
Drop off address:

BANQUETING

The Functions listed below are included in the 4 day Conference 19-23 September 2010. I will be attending the following Social Functions.
1) 19 September 2010 - Meet & Greet function at the Westin Grand Cape Town Arabella Quays (Additional Tickets- R220.00)  Yes   No   

2) 20 September 2010 - Informal Dinner function at La Med Restaurant located in Camps Bay ( Additional Tickets at R230.00 )  Yes   No   

3) 21 September 2010 - Gala Dinner function at the Westin Grand Cape Town Arabella Quays (Additional Ticket s- R265.00)  Yes   No   



METHOD OF PAYMENT

If paying by credit card a 3.5% merchant fee will be added. Please fax or e-mail a copy of the front and back of your card as well as your Passport or Identity document.
By cheque:
Cheque to be made out to Confinitive PTY LTD. Please send a copy of the deposit slip.
Electronic bank transfer:
Reference No:
Date transfer sent:
Please send a copy of the EFT
Credit card:

 I have authorised you to debit my credit card with the amount indicated.
Amount: 

BANK ACCOUNT DETAILS

Bank: Standard Bank
Account Holder:  Confinitive PTY Ltd  (T/A Embassy Conferences & Incentives)        
Branch: Cape Town
Branch Code: 020009
Account Number: 278 552 277
Account Name Confinitive (PTY) LTD - AEASA
Account Type Call account
Swift  Code:    
SBZAZAJJ

CONFERENCE ORGANISER

EMBASSY CONFERENCES & INCENTIVES
(Formerly Confinitive PTY LTD)
ADDRESS: P.O BOX 84 Cape Town 8000 South Africa
CONTACT: Colleen Yeoman (Conference & Incentives Manager)
TELEPHONE: +27 (0) 21 424 6644
FAX: +27 (0) 21 422 4320
E-MAIL ADDRESS

colleen@singergroup.co.za 
WEBSITE: www.embassyconferences.co.za
 



EXCITING EVENTS, IMPORTANT DATES
&
MUCH MORE
 
A PROUD MEMBER OF THE SINGER GROUP