ASATA Conference 2012

Conference Registration

Friday, 04 May 2012

The quickest way to register for ASATA's 2012 Conference is to use the online registration form on this page. Before filling in the form, please familiarise yourself with the Conference Packages & Prices!

Registration closes on 25 May 2012.

You may prefer to download a copy of the registration form in PDF or MS Word format, complete it at your leisure, and then fax it back to ASATA on: 086 505 1592.

Registration (MS Word)        Registration (PDF)           To download, right-click and "Save as..."

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Conference Registration Form

• Please put your CAPS lock on, so that we compile a delegates' list with all data in the same format.
• Compulsory fields are marked with an asterisk *.
• Please use your TAB key or your mouse to move from one field to the next, NOT the ENTER key!
   

DELEGATE DETAILS: :: PLEASE PUT ON YOUR CAPS-LOCK ::
First name/s in full:	*
Surname:	*
Preferred name to appear on badge:	*
Company name:	*
Company VAT registration no:	*  or say: N/A
Postal address - line 1:	*
line 2:
Town/City:	*
Postal Code:	*
Phone:	* With dialing code. No spaces e.g. 0113335555
Mobile:	* No spaces, e.g. 0831111111
Email address:	*
Dietary requirements:
Other special requests:
SPOUSE/PARTNER DETAILS:
First name/s in full:
Surname:
Preferred name to appear on badge:
Dietary requirements:
Other special requests:
ACCOMMODATION:  (please note that all rooms are non-smoking)
Trou aux Biches room choice:	Single    Double    Twin
Check-in date:
Check-out date:
FLIGHTS:  (flight numbers & times are available on the Arrangements page)
Class:	Economy   Business (only available on request)
Outbound Flight - Departure Date:
Inbound Flight - Departure Date:
SUMMARY OF PAYMENTS:   (details are available in the Arrangements page)
Package - total amount:
METHOD OF PAYMENT:   (please indicate your selected method of payment)
Direct bank transfer:	I will send ASATA proof of electronic funds transfer.
Cheque:	My accounts dept. will issue a cheque.
COMMENT OR QUERY
Please type in the number that's displayed below for the CAPTCHA verification
RESPONSIBILITY AND CONFIRMATION OF REGISTRATION
I confirm that I have read and noted the Terms and Conditions, the Reservation and Cancellation details, as well as the Statement of Responsibility and Disclaimer on the Arrangements page. By clicking on the Submit button below I agree to abide by these terms & conditions.

 

+ Certificate of Carbon Offset

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Call: 011 327-7803, Fax: 011 327-7827, Email: general@asata.co.za, Web: www.asata.co.za

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