DELEGATE REGISTRATION FORM

Landfill 2017 “Back to Basics” - 18 - 20 OCTOBER 2017

Venue: the eThekwini Buffelsdraai Waste Management Facility

Full Delegate Fee R 3,450.00 (incl VAT) 18-20 October 2017 (2.5 days)
Daily Delegate Fee R 2,050.00 (incl VAT) -18th ,19th or 20th October 2017

Once your registration form has been processed a tax invoice with banking details will be forwarded to you for payment. Kindly make payment using the invoice number as a reference and email your proof of payment to : kzn@iwmsa.co.za

DELEGATE PERSONAL DETAILS
Title
Surname
Your answer
First Name
Your answer
Initials
Your answer
Delegate Registration Fees (includes Presenters)
Prices including VAT
Are you are Presenter
Organisation for invoice purposes
Your answer
Organisation’s VAT Number
Your answer
Postal Address
Your answer
Suburb
Your answer
Postal Code
Your answer
Country
Your answer
Telephone
Your answer
Facsimile
Your answer
Mobile / Cell
Your answer
e-Mail
Your answer
Are you a member of IWMSA or GIGSA
IWMSA Membership Number
Your answer
GIGSA Membership Number
Your answer
Do you require CPD points
No of additional Delegates from the same company you wish to register
Your answer
Details of additional Delegates from the same company
Delegate names, cell, email, membership numbers, full delegate or day delegate and whether they require CPD points
Your answer
Contact Person - registrations / queries / account follow up.
Full Name, phone number & email
Your answer
Show case your company
Would you be interested in exhibiting or sponsoring at Landfill 2017
CANCELLATION & REFUND
Cancellations after 15 September will not be refunded. Registrations may be transferred to another delegate at no charge. Refunds will only be processed after the conference.
PAYMENT DETAILS
Kindly make payment using the invoice number as a reference and email your proof of payment to : kzn@iwmsa.co.za
Option to pay using a credit card
Should you wish to pay using your credit card, indicate below and the link will be forwarded to you.
CONFERENCE ENQUIRIES
For further information please email Angie at kzn@iwmsa.co.za
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