2022 IMESA Conference Registration
PLEASE COMPLETE ALL FIELDS IN REGISTRATION FORM BELOW.  

TERMS & CONDITIONS
BY REGISTERING FOR THE CONFERENCE, YOU ARE AGREEING TO THE FOLLOWING TERMS & CONDITIONS:

NOTE: Should there be a COVID outbreak, there will be a full refund.

1- For the Member rates to apply, membership status will be verified before the quotation or invoice is emailed.
2- Invoices or quotations, if requested, will be emailed to delegates within 72 hours of registration.
3- Registration fees are to be paid in full prior to Conference date.
4- Non-payment or partial payment will result in access being denied to the Conference.
5- Delegates attending from outside South Africa are requested to make payment in South African Rands (ZAR)
6- Proof of payment, with the invoice number as beneficiary reference, is to be emailed to: finance@imesa.org.za
7- Registered Delegates who are unable to attend, can cancel in writing BEFORE 31 August 2022 at NO CHARGE via registration@imesa.org.za .
8- Registered Delegates who cancel in writing AFTER 31 August 2022 are liable to pay a cancellation fee, R3 500
9- Registered Delegates who DO NOT CANCEL in writing prior to the Conference, will be liable for the FULL DELEGATE FEE.
10- If a registered delegate cannot attend the conference, a name change can be requested in writing via registration@imesa.org.za

It is the delegate's responsibility to ensure IMESA has the correct EMAIL ADDRESS as at 01 October 2022 for conference updates and recording of attendance . Please notify conference@imesa.org.za if the email changes.

I have read and agree to the above TERMS & CONDITIONS *
Required
BILLING DETAILS
Details for quotation or tax invoice purposes. Please provide details for accounts department or person responsible for payment.
Name of Company / Institution / Individual to be invoiced: *
Billing Address for DELEGATE REGISTRATION: *
Postal Code: *
Name & Surname of person responsible for payment *
Contact details of person responsible for payment *
Email address of person responsible for payment *
VAT Number (enter "n/a" if not required on invoice): *
Please send me a Quote before sending a Tax Invoice *
Required
DELEGATE DETAILS
Delegate Name & Surname *
Delegate Designation / Job Title
Delegate Cell phone Number *
Delegate Email Address - NOTE: Details for the Conference will be emailed to this address *
Is the Delegate employed at a Municipality? *
If yes, please provide FULL name of the Municipality:
Is the Delegate an IMESA Member? *
If yes, provide Membership Number for discounted Delegate fee:
TECHNICAL TOURS - included in Delegate Fee
Thursday Afternoon - 03 November 2022
Will the delegate be attending a Technical Tour? *
If YES, please select ONLY 1 from the Tours below: *
SOCIAL EVENING - included in Delegate Fee
Thursday Evening - 03 November 2022 @ Birchwood Hotel
Will the delegate be attending the Social Evening? *
GOLF DAY @ R650pp (incl.VAT) - NOT included in Delegate Fee
DATE : Tuesday, 01 November 2022
VENUE: Benoni Country Cub, Boksburg, GAUTENG
START: 11h30

ONLY COMPLETE IF ATTENDING THE GOLF DAY
Will the delegate be attending the Golf Day? NB! This will be billed seperately *
If YES, Name & Surname of person responsible for payment of the GOLF DAY account
Billing Address for the GOLF DAY invoice:
Contact details of person responsible for payment of the GOLF DAY account
Email address of person responsible for payment
Golf Shirt Size
Clear selection
COMPANION TOUR @ R1,500pp (incl.VAT) - NOT included in Delegate Fee
2,5 Days off-site Programme

ONLY COMPLETE IF YOUR SPOUSE / PARTNER WILL BE ATTENDING THE COMPANION TOUR
Will your spouse / partner be attending the Companion Tour? NB! This will be billed seperately: *
If YES, Name & Surname of person responsible for payment of the COMPANION TOUR account
Billing Address for COMPANION TOUR:
Email address of person responsible for payment
Name & Surname of COMPANION
Contact details of COMPANION
Email Address of COMPANION
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