REGISTRATION FORM

DELEGATE INFORMATION

Title

First Name

Last Name

Nationality

Invitation letter needed?

Job title

Organization Name

Organization VAT Number (optional)

INVOICING ADDRESS

Department

Contact Person's name

Postal Address

City

Country

State

Phone

FAX No.

Post/Zip Code

Mobile

Purchasing Order No. (if applicable)

SPECIAL DIETARY REQUIREMENTS & OTHER REQUESTS:

Dietary

Other

Name

Request

DO YOU WISH TO ATTEND A PROJECT SHOWCASE? Please indicate preferred sectors below

Energy Water ICT Transport Agribusiness Education Health

Other

Kindly note that access to the project showcasing is complimentary for all delegates however pre-registration is required due to limited seats.

REGISTRATION RATES: US Dollars (excludes VAT)

Rates

Delegate Catergory

Registration Rates

VAT (14%): USD

TOTAL AMOUNT PAYABLE

Total: USD

Registration Rates includes access to Welcome and Farewell Cocktail Receptions, Refreshments & Lunch Networking Breaks and Project Showcase

PAYMENT DETAILS

Bank Transfer - EFT

* Kindly note that the bank details will be sent to your email upon submission

I have agreed to the terms and conditions.

YES

Download Form

REGISTRATION FORM

DELEGATE INFORMATION

INVOICING ADDRESS

SPECIAL DIETARY REQUIREMENTS & OTHER REQUESTS:

DO YOU WISH TO ATTEND A PROJECT SHOWCASE? Please indicate preferred sectors below

Other

REGISTRATION RATES: US Dollars (excludes VAT)

Category

Rates

VAT (14%): USD

Total: USD

PAYMENT DETAILS

Bank Transfer - EFT