REGISTER

The 20th Annual Company Secretary Symposium
25 - 27 October 2010 The Hyatt Regency, Rosebank, Johannesburg
COMPLETE THE REGISTRATION FORM BELOW TO GUARANTEE A PLACE AT THIS EXCITING EVENT
Discounts cannot be used in conjunction with each other

For more information contact
the IIR Hotline on (011) 771 7000

	Register before 20 August 2010	Register between 21 August & 1 October 2010	Register after 1 October 2010
3 day	R10,999.00	R11,999.00	R12,999.00
2 day	R9,999.00	R10,749.00	R11,499.00

CGF Research Institute Members
	I am a CGF member and I automatically qualify for a 15% discount
Select the Days you wish to attend
	25 October 2010
	26 October 2010
	27 October 2010

Delegate 1
First Name		Surname
Designation		Title
E-mail Address		VIP Code
Telephone		Cell

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Delegate 2
First Name		Surname
Designation		Title
E-mail Address		VIP Code
Telephone		Cell

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Delegate 3
First Name		Surname
Designation		Title
E-mail Address		VIP Code
Telephone		Cell

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Delegate 4
First Name		Surname
Designation		Title
E-mail Address		VIP Code
Telephone		Cell

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Delegate 5
First Name		Surname
Designation		Title
E-mail Address		VIP Code
Telephone		Cell

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Company:

VAT Number:

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Postal Address:

Postal Code:

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Telephone:

(0 )

Facsimile:

(0 )

Mobile:

(0 )

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E-Mail:

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Name of contact person:

AND

Head of Department:

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Dietary Requirements:

Other

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Where did you hear about this event?
	Website
	Brochure
	E-mmercial
	3rd Party Website
Other

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PLEASE NOTE THAT ALL METHODS OF REGISTRATION ARE SUBJECT TO OUR STANDARD TERMS AND CONDITIONS:
Cancellations: If you cancel within 10 weeks of this event running a 50% cancellation fee will be charged. If you cancel within 2 weeks of this event running a 100% cancellation fee will be charged. Please notify the office in writing.
Substitutions: Registered delegates may be substituted at any time prior to the Day without incurring an additional fee. Please notify the office in writing of the change.
Confirmation: All registrations will be deemed confirmed and subject to these Terms and Conditions
Payments: Payment must be made prior to the running of this event.
Confirmation: All registrations will be deemed confirmed and subject to these Terms and Conditions.
I have read and agree to the IIR Terms and Conditions of Service.