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2nd Annual Biological Processing of Waste Water ... - SuSanA

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Registration Form<br />

GPW Michael<br />

<strong>2nd</strong> <strong>Annual</strong> <strong>Biological</strong><br />

<strong>Processing</strong> <strong>of</strong> <strong>Waste</strong> <strong>Water</strong><br />

Treatment Plants<br />

18 - 19 March 2013<br />

Global Prospectus Training Centre,<br />

366 Pretoria Avenue, Randburg<br />

ONLY<br />

R6990<br />

Per Delegate,<br />

ex. VAT.<br />

Fax Completed Registration Form To: +27 33 3915722 , 086 537 8804<br />

Company Name:<br />

Type <strong>of</strong> Business:<br />

Address:<br />

Tel: Fax: VAT Number:<br />

Delegate 1:<br />

Position:<br />

E-Mail:<br />

Delegate 2:<br />

Position:<br />

E-Mail:<br />

Delegate 3:<br />

Position:<br />

E-Mail:<br />

Delegate 4:<br />

Position:<br />

E-Mail:<br />

Delegate 5:<br />

Position:<br />

E-Mail:<br />

AUTHORISATION: Signatory must be authorised to sign on behalf <strong>of</strong> Company<br />

Name:<br />

Position:<br />

Signature:<br />

PAYMENT METHODS<br />

Date:<br />

1. Bank Transfer - Global Prospectus Training Centre (PTY) Ltd.<br />

First National Bank: Randburg<br />

Account Number: 62299608590<br />

Branch Code: 254005<br />

CREDIT CARD<br />

DETAILS<br />

Cardholder’s Name:<br />

Credit Card Number:<br />

CVC No: Expiry Date:<br />

2. Credit card - Please fill in your credit card details above<br />

3. Cheques - Made Payable to: Global Prospectus Training Centre (PTY) Ltd.<br />

TERMS & CONDITIONS<br />

The following terms and conditions will apply:<br />

Paym ent is required in full 5 days from date <strong>of</strong> invoice<br />

A ll paym ents to be m ade directly to G lobal Prospectus Training Centre (PTY ) Ltd.<br />

N o seats w ill be reserved,unless G lobal Prospectus Training C entre receives a signed registration form .<br />

G lobal Prospectus Training Centre (PTY) Ltd. reserves the right,due to circum stances beyond our control,<br />

to change speakers,program content,date & venue.<br />

The signed registration form is a legally binding contract.<br />

Substitutions<br />

D elegates m ust inform G lobal Prospectus Training C entre (PTY ) Ltd.<br />

in w riting <strong>of</strong> any substitutions.<br />

There is no charge for substitutions.<br />

G lobal Prospectus Training Centre w ill not be held liable for incorrect<br />

D elegate details on Certis,etc. in the event <strong>of</strong> substitutions being<br />

m ade on the day <strong>of</strong> the conference. In the event <strong>of</strong> G lobal Prospectus<br />

Training Centre having to cancel or postpone an event due to circum -<br />

Cancellations<br />

stances beyond our control,delegates w ill be issued w ith a credit voucher,<br />

A ll cancellations w ill be subject to approval by the m anagem ent <strong>of</strong> G lobal Prospectus - Training C entre (PT Y ) Ltd. w hich m ay be used at another <strong>of</strong> our events.<br />

A ll cancellations m ade 7 days prior to date <strong>of</strong> the above m entioned event w ill be subject to a 50% cancellation fee.<br />

Cancellations m ade w ithin 7 days <strong>of</strong> date <strong>of</strong> the above m entioned event,w ill be - subject to a 100% cancellation fee. Global Prospectus Training Centre (PTY) Ltd will not be held liable for travel and<br />

-<br />

The w ill be no refunds or credit vouchers.<br />

accommodation costs. The conference fee includes: conference material, lunches and<br />

refreshments, but excludes travel & accommodation.<br />

GLOBAL PROSPECTUS TRAINING CENTRE (PTY) LTD.<br />

Pietermaritz burg - Tel: +27 33 391 4229 Fax: +27 33 391 5722<br />

M arketing - dev@globalprospectus.co.za D esign - shane@1pixel.co.za (082 871 4394)<br />

Chief E xecutive O er - Dhevaraj Pillay<br />

A uditors - Russell Bedford SA (Jhb) Inc.<br />

Legal - DA Morris & Associates

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