TIC2012

Delegate Details

Title:

First name: *

Surname: *

Badge Name:

Organisation: *

Job Title:

VAT Number:

Company/Organisation VAT Number for invoicing purposes

Email: *

Telephone: *

Mobile Phone: *

Fax:

Address Line 1: *

Address Line 2:

Suburb or City: *

Postal Code: *

Country: *

Dietary Requirement:

Please note that Halaal and Kosher special meals attract a surcharge of R1000 per person. If possible, opt for the Vegetarian option, which won't cost you any extra.

Special Requests/Requirements:

click here to enter PARTNER DETAILS

If you will be accompanied by your husband/wife/social partner, please enter your spouse or partner's details here. Your spouse/partner will then be entitled to attend the special partners' programme on the Monday and Tuesday, as well as attend the evening social functions.

Title:

Name:

Surname:

Preferred Name for Badge:

Partners Programme:

Partner will attend the special partners' programme on Monday 11 June and Tuesday 12 June

Dietary Requirement:

Please note that Halaal and Kosher special meals attract a surcharge of R1000 per person. If possible, opt for the Vegetarian option, which won't cost you any extra.

Special Requests/Requirements:

click here to enter ACCOMMODATION details

Please note the following important points:

Accommodation will be allocated on a "first come first served" basis.
In the event that your first choice cannot be accommodated, your second or third choice will be booked.
Accommodation rates are subject to availability.
Accommodation rates include breakfast, but exclude the 1% Tourism Levy on the accommodation portion of the rate. This will be charged as an extra to your hotel bill.
At check-in, delegates will be required to provide a credit card imprint, or cash deposit, to secure the cost of extras.
Any accommodation not paid in full by 25 May 2012 will automatically be cancelled, unless secured by a credit card

Single Person Accommodation:

Single Person Accommodation - you wish to have a room to yourself

Couples Accommodation:

Couples Accommodation - you are sharing a room with your spouse/partner, or you are sharing a room with a colleague and wish to have the full accommodation bill for your account.

Check In Date:

Indicate the date that you will check into your hotel room

Check Out Date:

Indicate the date that you will check out of your hotel room