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ABOUT THE CONFERENCE
REGISTER/BOOKING
Delegate Registration
Exhibitor Registration
Sponsor Registration
Advertising Registration
Gala Dinner Registration
Cocktail Registration
GALLERY
PROGRAMME
PRESENTATIONS
Exhibitor Registration
Exhibitor Registration
Closing date for Exhibitor Registrations : 28 June 2019
EXHIBITOR PROSPECTUS
*
I HEREBY AGREE TO THE NAMA 2019 NATIONAL CONFERENCE TERMS AND CONDITIONS AS SET OUT IN THE EXHIBITOR PROSPECTUS
R
EXHIBITOR REGISTRATION FORM
Company Information
*
Organisation/Company
R
*
Exhibitor name to be displayed during Conference
R
*
Cell
R
*
Phone
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*
Email
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Exhibitor Staff Information
Exhibiting Staff Member No 1
*
Title
R
*
First Name
R
*
Surname
R
*
Cell
R
*
Phone
R
*
Email
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Exhibitor attending the Cocktail Function
R
Exhibitor attending the Gala Dinner
R
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
R
R
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
R
*
First Name
R
*
Surname
R
*
Cell
R
*
Phone
R
*
Email
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Exhibitor attending the Cocktail Function
R
Exhibitor attending the Gala Dinner
R
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
R
R
An additional R150,00 p/p will be charged for a special dietary requirement
Accompanying Partner’s Name & Surname
R
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
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
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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
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. 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
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Additional Exhibitor No. 5 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. 6 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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Want to register as a delegate?
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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
R
*
Surname
R
*
First Name
R
*
Organisation/Company
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
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.
R
(All Prices Exclude VAT)
NAMA Member
Non-NAMA Member
Early Bird Delegate Registration
Full Conference Package
18-20 September 2019
Register by 31 March 2019 or the first 50 delegates
4000 R
5000 R
Early Bird Group Delegate Registration
6 or more delegates from one company at 10% discount
Full Conference Package
18-20 September 2019
Register by 31 March 2019 or the first 50 delegates
3600 R
4500 R
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
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 Delegate No. 1 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 2 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 3 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 4 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 5 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 6 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 7 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
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*
Email
R
R
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)
R
Additional Delegate No. 8 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 9 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 10 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
R
*
Email
R
R
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)
R
Additional Delegate No. 11 Information
*
Title
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*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
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*
Email
R
R
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)
R
Additional Delegate No. 12 Information
*
Title
R
*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
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*
Email
R
R
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
R
*
Cell
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*
Phone
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*
Email
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R
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)
R
Additional Delegate No. 14 Information
*
Title
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*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
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*
Email
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R
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)
R
Additional Delegate No. 15 Information
*
Title
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*
Surname
R
*
First Name
R
*
Cell
R
*
Phone
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*
Email
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R
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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Category:
Exhibitor Registration
