* Indicate mandatory fields
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DELEGATE DETAILS:
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| First Name: |
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| Last Name |
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| Title: |
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| Company / Institution Name: |
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| Designation in Company: |
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| Address: |
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| City & Postal Code: |
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| Country: |
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| Telephone Number: |
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| Fax Number: |
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| Cell Number: |
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| Email Address: |
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| Do you require Disabled Persons Facilities: |
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| Special Dietary Requirements |
Specify any other :
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| Preferred Name on Name Badge |
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| REGISTRATION DETAILS: |
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Delegate Type: (Please tick all relevant boxes)
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| Full Delegate Registration |
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| Day Delegate Registration |
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| Please give date which you wish to attend |
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Day Delegate Date:
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| Please select the sessions and workshops you would like to attend |
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| BILLING DETAILS: |
| Name: Person / Company / Institution |
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| Company / Institution VAT Number |
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| Method of Payment |
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| For Electronic Transfers and Cheque Payments, please send all payments to: |
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| Account Name: |
Bio2Biz SA (Pty)Ltd |
| Bank: |
FNB |
| Account Number: |
6210 6974 795 |
| Branch: |
Pine Crest Centre |
| Branch Code: |
251505 |
| SWIFT Code: |
FIRNZAJJ762 |
| Account Type: |
Cheque |
| Physical Address: |
First Floor, Minolta House, Black River Business Park, Fir Road, Observatory, 7925 |
| Postal Address: |
P O Box 13372, Mowbray, 7905 |
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| Please remember to quote your surname/company name as the reference number on your deposit slip or on your EFT transaction report. |
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Terms And Conditions
Cancellations:
If you cancel before 1 July 2008, a cancellation fee of 10% will be charged. If you cancel between 02 July and 15 August 2008, a cancellation fee of 50% will be charged. After 16 August 2008, the full conference fee is payable. Please notify the organizers’ office in writing of any cancellation. be (Fax +27 (0) 12 844 0153 or kgomotso@biopad.org.za)
Note: Cancellation refunds will be issued one month after the conference.
Substitutions:
Registered delegates may be substituted at any time prior to the conference without incurring an additional fee. Please notify the organizers’ office in writing of any substitutions. (Fax +27 (0) 86 512 1663 or registrations@urbanphilosophy.co.za)
Payments:
Proof of payment (deposit slip / electronic fund transfer transaction form) must be sent to: (Fax) 086 512 1663 or (email) registrations@urbanphilosophy.co.za, with the words “Proof of Payment” in the Subject line.
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Delegates Accommodation
Accommodation has been secured at the following venues, which are conveniently situated:
Garden Court Sandton
Cnr. West and Maude Streets
Sandown
Tel: +27 11 269 7000
Email Reservations: gcsandtoncity@southernsun.com
City Lodge Sandton
Cnr. Katherine Street and Grayston Drive
Sandown
Tel: +27 11 444 5300
Email Reservations: clkathstr.resv@citylodge
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Speakers Accommodation
Accommodation has been secured at the following venue, which is conveniently situated:
Sandton Sun
Cnr Fifth and Alice Streets
Sandton
Tel: +27 11 7805000
Email Reservations: sales@sandtonsun.com
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