Congress 2017

Game Changers – Smart Innovations in Irrigation

1 – 3 August 2017

The Lord Charles Hotel, Somerset West

REGISTRATION FORM – DAY DELEGATE

Please complete the form by typing in your details.

PERSONAL DETAILS
Title: / VAT Reg no:
Surname: / Cell no:
Name: / Tel No:
Company: / Fax No:
Postal
Address: / Postcode:
Invoice made out to (tick option below):
E-mail: / Individual / Company
REGISTRATION FEES
Registration for Day Delegates / 1 August / 2 August / 3 August / Amount/day / Amount payable
Delegate: SABI Member / R 1 500.00
Delegate: Non SABI Member / R 2 000.00
Braai (1 August 2017) / R 350.00
Gala Dinner (2 Augustus 2017) / R 400.00
TOTAL
REGISTRATION FEE NOTES
Please tick the applicable block above –
Indicate clearly which day you would like to attend and also which evening functions you would like to attend. Cost is per day, the cost of the half day, 3 August is included in the cost of 1 and 2 August.
Above 2½ day delegate congress fee includes:
·  Congress package
·  Refreshments breaks and lunch
Registration Terms and Conditions:
·  No registration will be confirmed without full pre-payment.
·  No refunds will be paid if cancellations are received after 1 July 2017
·  Substitutions are welcome, provided they are submitted in writing.
·  Please register by 30 June 2017. All registrations received thereafter, will be handled as late registrations and availability cannot be guaranteed.
OTHER INFORMATION
I would like to qualify for CPD points with ECSA by attending the Congress / ECSA Nr
I have special dietary requirements / Specify:
PAYMENT DETAILS
The completed registration form must be e-mailed to , and upon receipt an invoice for the amount due will be issued. Please use the invoice number as a reference.

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SIGNED DATE