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GALLERY
PROGRAMME
PRESENTATIONS
Delegate Registration
Delegate Registration
Closing date for Delegate Early Bird Registrations : 31 March 2019 or the first 50 registrations
Closing date for Other Conference Delegate Registrations : 15 August 2019
DELEGATE PROSPECTUS
*
I HEREBY AGREE TO THE NAMA 2019 NATIONAL CONFERENCE TERMS AND CONDITIONS AS SET OUT IN THE DELEGATE PROSPECTUS
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DELEGATE REGISTRATION FORM
Delegate Information
*
Title
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*
Surname
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*
First Name
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*
Organisation/Company
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Will there be any additional delegates from the same company?
Please select
Yes
No
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How many?
Once the number has been filled in, please complete their details below this section.
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(All Prices Exclude VAT)
NAMA Member
Non-NAMA Member
Delegate Registration
Full Conference Package after Early Bird Registration
18 -20 September 2019
Register by 15 August 2019
5500 R
6500 R
Group Delegate Registration
6 or more delegates from one company at 10% discount
Full Conference Package after Early Bird Registration
18 -20 September 2019
Register by 15 August 2019
4950 R
5850 R
One day conference booking only
19 September 2019
Register by 15 August 2019
1300 R
2300 R
Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
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*
Email
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*
Cell No
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Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
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*
Email
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*
Cell No
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Want to register as an exhibitor?
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Please fill in the required details below the delegates' information
Additional Delegate No. 1 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 2 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 3 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 4 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 5 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 6 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 7 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 8 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 9 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 10 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 11 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 12 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 13 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 14 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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Additional Delegate No. 15 Information
*
Title
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*
Surname
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*
First Name
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*
Cell
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*
Phone
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*
Email
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An additional R150,00 p/p will be charged for a special dietary requirement
Please select if applicable, and specify quantity
150 R
Need specific facilities (e.g. wheelchair access)
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EXHIBITOR PROSPECTUS
*
I HEREBY AGREE TO THE NAMA 2019 NATIONAL CONFERENCE TERMS AND CONDITIONS AS SET OUT IN THE EXHIBITOR PROSPECTUS
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Exhibitor Staff Information
Exhibiting Staff Member No 1
*
Title
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*
First Name
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*
Surname
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*
Cell
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*
Phone
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*
Email
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Exhibitor attending the Cocktail Function
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Exhibitor attending the Gala Dinner
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Accompanying Partner attending the Cocktail Function
550 R
Accompanying Partner attending the Gala Dinner
750 R
Specific dietary requirements
150 R
Specific dietary requirements
150 R
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An additional R150,00 p/p will be charged for a special dietary requirement
Accompanying Partner’s Name & Surname
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Accompanying Partner’s Email
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Accompanying Partner’s Cell
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Exhibiting Staff Member No 2
*
Title
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*
First Name
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*
Surname
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*
Cell
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*
Phone
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*
Email
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Exhibitor attending the Cocktail Function
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Exhibitor attending the Gala Dinner
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Accompanying Partner attending the Cocktail Function
550 R
Accompanying Partner attending the Gala Dinner
750 R
Specific dietary requirements
150 R
Specific dietary requirements
150 R
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An additional R150,00 p/p will be charged for a special dietary requirement
Accompanying Partner’s Name & Surname
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Accompanying Partner’s Email
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Accompanying Partner’s Cell
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(All Prices Exclude VAT)
NAMA Member
Non-NAMA Member
3 m x 3 m Stand
Includes : 2 x Exhibitors to attend the Cocktail Event, Gala Dinner and Conference
6200 R
3 m x 6 m Stand
Includes : 2 x Exhibitors to attend the Cocktail Event, Gala Dinner and Conference
9500 R
Additional Exhibitor/s?
Includes : Attending the Cocktail Event, Gala Dinner and Conference
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How many?
Once the number has been filled in, please complete their details below this section.
2800 R
Additional Exhibitor No. 1 Information
*
Name & Surname
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*
Email
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*
Cell No
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Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
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Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
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Additional Exhibitor No. 2 Information
*
Name & Surname
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*
Email
R
*
Cell No
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Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
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Additional Exhibitor No. 3 Information
*
Name & Surname
R
*
Email
R
*
Cell No
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Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
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Additional Exhibitor No. 4 Information
*
Name & Surname
R
*
Email
R
*
Cell No
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Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Additional Exhibitor No. 5 Information
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Additional Exhibitor No. 6 Information
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to cocktail event
18 September 2019
550 R
1050 R
*
Name & Surname
R
*
Email
R
*
Cell No
R
Accompanying partner to gala dinner
19 September 2019
750 R
1750 R
*
Name & Surname
R
*
Email
R
*
Cell No
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Quantity
Add to cart
Category:
Delegate Registration
