SAICA CENTRAL REGION

SUMMER CONFERENCE

17 – 19 OCTOBER 2014

SUNWA RIVER LODGE, PARYS

Please complete this form in FULL in order for your booking to be processed.

By completing and submitting this document, you are agreeing to comply with the terms and conditions stated at the end of this document.

All booking forms, correspondence or queries related to this event must be directed to Reneë Beck on 051444 3674 or

Name and Surname
SAICA number or ID Number
Email Address
Cellphone Number
Company Name
Position

Please indicate your accommodation requirements:

□ 1 Bedroom Chalet - Single

□ 1 Bedroom Chalet - Sharing

I would like to share with______

T-Shirt size: □ Small □ Medium □ Large □ X Large □ 2X Large □ 3X Large

Cost:

Per person

All prices are including VAT

Booking before / Booking after / Booking after
31 Aug 2014 / 1 Sep -14 Sep 2014 / 15 Sep - 30 Sep 2014
(Full payment required)
(Full payment required to qualify) / (Full payment required to qualify)
1 Bedroom Chalet - Single / R3 000.00 / R3 250.00 / R3 500.00
1 Bedroom Chalet - Sharing / R2 400.00 / R2 550.00 / R2 700.00

Dietary Requirements:

Halaal (Extra charge for own account) Kosher (Extra charge for own account)

Vegetarian Other – Please specify in detail

Will you be joining in on the customized team building session:

Yes No

RSVP: Banking Details:

Date: 30 September 2014 (final cut-off date) SAICA

Contact: Reneë Beck Nedbank

Direct Fax: 011 621 6861 Branch: Business Central Gauteng

E-mail: Branch Code: 128 405

Contact Number: 051 444 3674 Account Number: 1284 023 230

Terms and Conditions:

Rates are inclusive of registration, accommodation, meals and drinks at allocated times.

v  Any special requirements will be arranged on request.

v  Bookings will only be made on receipt of your full payment and booking form.

Fees are non-refundable. However replacements will be accepted 7 days prior to the conference.

v  Only written cancellations will be accepted.

v  Cancellations MUST be done 14 days prior to the conference.

THIS EVENT IS OPEN TO MEMBERS ONLY