What You Should Do to Register

Please complete and return pages 1-6
PLEASE PUT THE INITIALS DIS IN FRONT OF YOUR NAME ON THE PAYMENT SO THAT WE CAN RECONCILE THE ACCOUNT.

Surname

/ First Name
Name on Badge / Rotary Club
Rotary Org
(Tick one) /

Rotary

/ Anns / Inner Wheel / Rotaract / Youth Exchange / Other
Rotary Title
(Tick one) / RIPPR / DG / DGE / DGD/NN / PDG / DGR / AG / Pres / PE
PP / Rotarian / Ann / I/W / Rotaract / Youth Exchange / Speaker / RIPPR Aide / Other
Email Address
Postal Address
Phone No. / Work / Fax
Home / Cell
Partner’s Surname / First name
Name on badge / Rotary Club
Partner Org
(Tick one) / Rotary / Anns / Inner Wheel / Partner / Other
Partner Title
(Tick one) / DG Ann / PDGA / DGE/A
DGD/A / Pres / PE / PP / Rotarian / Ann / I/W / Spouse/
Partner
Any special needs / Dietary
Self
Partner / Disability needs
Self
Partner

What you should do to Register

Complete ALL details on the registration form.
E-mail your completed registration form with PROOF OF PAYMENT to to reach us before 15 May 2015.
Or FAX your completed registration form with PROOF OF PAYMENT (POP) to PDGA Sylvia Knoop on +27 (0)866924156. Remember to put DIS in front of your name when you make payment.
No registration can be processed without the payment having been received.

Important Information

The deadline for registration is 15 May 2015.
Fees for the Youth should be paid by hosting clubs. The YEX Committee will send separate notices out.
Please complete a separate form for each Youth Exchange Student, Interact RYLA or Rotaract Member if they are to stay in the tented camp.
The D9400 Registration feeis mandatory for all conference participants.
The Kitchen is Halaal but Kosher Meals are NOT available. Please bring your own if required.
Your reservation will be confirmed by email or fax within 10 working days of receipt of your registration form and payment.
Please enter the amounts for the events you book for yourself and your partner under the headings ‘Self’ and ‘Partner’. Please read all the notes below.
Strict observation will be made by the Sergeant-at-Arms regarding name badges. Delegates that have not paid the relevant conference fee (for full day on Saturday and half day on Sunday), will not be able to attend the opening, closing or any selected speaker programme.
Meal tickets will be handed to everyone who attends. No ticket…no meal!

Contact Details for Registration Enquiries

PDGA Sylvia KnoopE-mail

Cell+27 (0) 82461 2880

Land line +27 (0)11395 3425 (home)

Fax +27 (0)86692 4156

Item / Rate / Self / Partner
OPTION 1– Full Ingwenyama Conference and Sports Resort Package (all inclusive)
Rotarians/Anns/Rotaractors/Partners/IW/Spouse
Name badges to be worn at all times otherwise entrance to conference will be denied.
Event and meal tickets will be issued.
Full hotel Conference Package

Sharing accommodation per person
R 3285+ R 300 registration fee = R 3585
Single/Non-sharing per person
R 4365 + R 300 registration fee = R 4665

Included is:
The mandatory D9400 registration fee of R 300 includes the conference bag.
Accommodation (3 nights: 18, 19, 20 June 2015) and breakfast for 19, 20 & 21 June (Friday to Sunday)
Full package conference charges include:

18 June: Meet & Greet dinner (cash bar)
19 June: Full conference daily package including lunch and two teas;
Chinese theme evening dinner (cash bar)
20 June: Half day conference; mid-morning tea; including lunch for everyone who has this package.
Under the African Skies Gala Banquet (wine on table) (cash bar).

/ R 3585
R 4665
Total / R / R
OPTION 2 – This option is if you stay at the conference hotel and if you want to select events – however, this is not an option for single delegates – only for people sharing.

Name badges to be worn at all times otherwise entrance to conference will be denied.
Cash bar at all the events.
Mandatory D9400 Registration fee payable includes a conference bag (whether you attend the conference sessions or not).

•Mandatory Discon Registration fee

Accommodation sharing per person:

•Thursday 18 June: Meet & Greet event
•Friday 19 June: Full-Day conference including teas & lunch
•Friday 19 June: Chinese theme evening dinner.
•Saturday 20 June: Half-Day conference including mid-morning
tea and lunch.
•Saturday 20 June: Under the AfricanSkies Gala banquet.

Rotary Ann/spouse programme ONLY: includes mid-morning tea BUT no lunch

/ 300
1920
160
410
280
310
280
80 / 300
1920 / 300
1920
Total / R / R
OPTION 3 – If you stay off-site and you only want to attend the conference sessions– includes teas & lunches.

Two conference sessions: 19 & 20 June
Registration fee (compulsory)

/ 820
300 / 300 / 300
Total / R / R
OPTION 4 – If you stay off-site but attend the entire conference and all the evening events
Full conference & all evening events

18 June: Meet & Greet
19 June: Full day conference
19 June: Chinese theme evening
20 June: Conference
20 June: Gala dinner
Registration fee (compulsory)

/ 1540
300 / 300 / 300
Total / R / R
Additional nights(special rates obtained)
Sharing per person
Single person
Wednesday 17 June
•Cost per person per night: B & B
•Dinner is excluded
Sunday 21 June

Cost per person per night: B & B
Dinner is excluded

/ 590
770
Youth Services (RYLA, Interact, Youth Exchange
Please refer to the separate form that will be sent from Youth Services
Grand Total / R / R
REMEMBER TO PUT THE LETTERS DIS in front of your name when you make the eft payment.

IMPORTANT TERMS & CONDITIONS

Cancellations must be submitted per email to PDGA Sylvia Knoop –
Refunds will be at the sole discretion of the Discon Committee.
Cancellation fees are as follows

- On or before 15 May 2015 R 500

- On or after 22 May 2015 No refund

RESPONSIBILITY CLAUSE

The Conference Committee (of the Rotary District 9400 Conference, also referred to as “DISCON”) will do everything possible to ensure that your attendance at the 2015 Discon will be as comfortable and beneficial as possible. Any member of the Discon Committee and its appointed agents or other sub-contractors, act on the basis that they attend to the arrangements of Discon for the convenience of its delegates. They perform all tasks on condition that the Conference Committee, or its appointed agents or other subcontractors cannot be held responsible for unforeseen partial or total cancellation of the event; neither will any refunds be granted. The programme is subject to change without notice.

INDEMNITY CLAUSE

You and your guests and/or minor dependants will be granted permission to enter the area and facilities of Ingwenyama Conference and Sports Resort for the duration of the District 9400 Discon to be held from 18to21June 2015. By entering these premises you acknowledge that there are inherent hazards that exist at functions of this nature and that you enter at your and your dependants' and guests’ own risk. You hereby declare that you shall have no claim against THE CONFERENCE COMMITTEE, ROTARY INTERNATIONAL, DISTRICT 9400 or Ingwenyama Conference and Sports Resortany of its volunteers, employees or independent contractors, as a result of the use of defective materials or equipment or of any human or mechanical error, default or failure occurring on the said premises or as a result of the said function. You thus hereby acknowledge and declare that you and your guests and/or minor dependants indemnify the parties named above against any damage or injury whatsoever or any legal costs which may arise out of you and your guests and/or minor dependants entering the said premises.

Direct Bank Deposits and Electronic Transfers

Bank deposit and e-transfer payments can only be recorded as paid when we are able to allocate them to your registration account.
Please write your name in the reference block of your bank’s deposit slip, and attach a copy of your proof of payment to the registration form.

Payment Method - Please pay the amount marked “Total Payable” in the table above using one of the following methods.Please add the letters DIS in front of your name when doing the eft.

Banking details: (Please use the following bank account for all the conference payments)

ROTARY 9400 eCOMMERCE1. Standard Bank Limited2. Swift SBZAZAJJ

Branch/IBAN 00995300Acc No. 24 260 9473

Payment Method (mark clearly) / Cheque / Bank Deposit / EFT
By signature, I confirm I have read and agree to the Notes, Important Terms and Conditions, Responsibility Clause and Indemnity Clause above.By submitting this form I agree to the above terms and conditions. Signed by delegate or person authorised to sign on behalf of delegate.
Signature / Date

ALTERNATIVE ACCOMODATION IN WHITE RIVER - **** Star rating

Please call the venue directly.

For all the bookings below, please dial 0027 and then drop the 0 in front of the 013: eg. 0027 13…..

Venue / Contact details / Remarks
Bundu Lodge / Tel 013758 1222 / When you book or send an email, please ask for Minette
PLEASE QUOTE REFERENCE NUMBER 156652-
Bundu Lodge offers special rates and the more folks share one chalet, the cheaper it becomes. Please note though that as these are self-catering chalets there is no breakfast included. You can take your own along. However, if you decide to have breakfast it will be R 110 per person per breakfast.
Ask to be booked into the accommodation at the top end.
Rotarian-owned
Heuglins ****
Country Lane Lodge **** / 013 711319/083 610614
013 7502505/083 4534841 / Excellent accommodation & rates for these venues
Other
Rustic Butler Guest House **** / 013 7511403/083 2384124
Colts Hill Guest House **** / 013 751 1942
Linga Longa **** / 013 7511942
Lavender Guest House **** / 013 7513696/082 3299925
Petra Mountain Retreat **** / 013 7515249
Greenway Woods Resort *** / 013 7511094
Balcony Manor **** / 013 7512024/082 4663261
Timeshare resorts
Pine Lake Resort *****
Lowveld Lodge **** / 013 7500709
013 7500206