Registration Form

REGISTER DELEAGTES

Please fill in the form as fully as possible so we can register your delegates for the conference

Contact Details (Accounts)

Name: *

Position: *

Company: *

Fax: *

Phone: *

Mobile: *

Email: *

Postal Address *

Postal Code: *

Country: *

City: *

DELEGATE FEE: ZAR 2750.00 (South African Rands) /USD 420 (United States Dollars)

DELEGATE 1:

Name: *

Contact: *

Designation:

DELEGATE 2:

Name:

Contact:

Designation:

DELEGATE 3:

Name:

Contact:

Designation:

PAYMENT OPTIONS: Direct Deposit

Bank: NEDBANK
Account Name: Tripo Media CC T/A BrandPoppers
Accout Number: 1012621839
Branch Code: 190805
Swift Code: NEDSZAJJ
Reference: Company Name

Terms and Conditions

The invoiced amount representing the full registration fee is payable upon receipt of the invoice which will be forwarded to you via email upon completion of the registration form.
50% of the invoiced amount will be refunded if written notice is received 2 Weeks and more before the event.
If notice is received 9 days before the event, 25% is refunded. No refund will be extended for cancellations made less than 9 days before the event. Should you not be able to attend, a substitute delegate may take your place.
Brandpoppers reserve the right to change any part of its online programme and assume no Liabilty for changes in the venue, date, speakers or content. Utmost effort is taken to ensure that the event information is correct and updated at regular intervals.
Brandpoppers reserves the right to cancel the event and will in such instance make a full refund of delegate registration fee paid.

REGISTER DELEAGTES

DELEGATE 1:

DELEGATE 2:

DELEGATE 3:

PAYMENT OPTIONS: Direct Deposit

Terms and Conditions

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