OPEN QUANTUM WALKS CONFERENCE 2017 : REGISTRATION FORM
Please complete the following form to register for THE OPEN QUANTUM WALKS CONFERENCE 2017 taking place from Monday 27th November - Friday 01st December 01, 2017 at The Salt Rock Hotel, which is located on the Natal North Coast.

Should you have any questions, please contact Vicki Hooper - Venues for Conferences in Africa - Tel: +27 31 764 0059 / +27 83 256 8120 - E-mail: vicki@venues.co.za

Once this form is submitted, confirmation of the reservation, invoice and payment details will be sent to you by email. The bank account details into which payment should be made will be detailed on the invoice. Payment may be made via credit card, bank transfer or EFT.

Delegate Registration Fees (including conference reception, wine tasting and conference dinner) :
R3 000.00 per person

Partner Registration Fees (including conference reception, wine tasting and conference dinner):
R2 500.00 per person

Fully inclusive delegate ate per day (Includes accommodation, dinner, lunch and breakfast with conference, venue facilities and refreshment breaks):
R1 445.00 per person per day (single)
R1 215.00 per person per day ( sharing)

Day Conference Rate: R450 per person

SALT ROCK HOTEL
59 Basil Hulett Dr, Salt Rock, Dolphin Coast, 4391Salt Rock Hotel, Address
Your contact details
Surname
Your answer
Name
Your answer
Name Badge details
Your answer
University/Organisation
Your answer
Postal Address
Your answer
Country
Your answer
Telephone Number
Your answer
E-Mail Address
Your answer
Verify E-Mail Address
Your answer
Will you be accompanied by a partner?
Next
Never submit passwords through Google Forms.
This form was created inside of Venues For Conferences In Africa. Report Abuse - Terms of Service - Additional Terms