| 1. |
Title
|
Name:
*
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| |
Surname:
|
*
|
| |
Designation:
|
*
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| |
Email
: |
*
|
|
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
|
| 2. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 3. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 4. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 5. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 6. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 7. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 8. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 9. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| 10. |
Title
|
Name:
|
| |
Surname:
|
|
| |
Designation:
|
|
| |
Email
: |
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| |
Head
of Department: |
| |
Title
|
Name:
*
|
| |
Surname:
|
*
|
| |
Designation:
|
*
|
| |
Email
: |
*
|
| |
|
YES,
PLEASE OPT ME IN TO RECIEVE ANY
FUTURE RELEVANT INFORMATION VIA EMAIL |
| |
| |
Company:
|
* |
| |
VAT
Reg Nr: |
* |
| |
Postal
Address: |
* |
| |
Postal
Code: |
* |
| |
Tel: |
(
)
*
|
| |
Fax: |
(
)
* |
| |
Mobile: |
* |
| |
|
|
| |
How
did you hear about this event? |
* |
| |
From
Whom ? |
Advertisement
|
| Other
(specify)
* |
| |
Would you
like to receive emails in the future? |
Yes
No |
| |
Verification: |

Type the letters above |
| |
We, at IIR South
Africa, value your privacy and treat our email database
as highly confidential. We will not distribute/sell it to
anyone else
|
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P2826
WEB |
| |
TERMS
AND CONDITIONS
|
| |
Cancellations:
If you cancel between 13 October 2008 and 27 October 2008
a cancellation fee of 10 % will be charged. If you cancel
between 28 October 2008 and 11 November 2008 a cancellation
fee of 50 % will be charged. Thereafter the full fee is
payable. Please notify this office in writing.
Substitutions: Registered delegates may be substituted at
any time prior to the conference without incurring an additional
fee. Please notify this office in writing of the change.
Payments: Payment must be made prior to the running of this
event.
Confirmation: All registrations will be deemed confirmed
and subject to these Terms and Conditions.
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