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SAICE Awards 2006

Booking Form

Thursday 12th October 2006 Cost R275.00 (incl. VAT) per person.
Volkswagen Conference centre, 1144 Sixteenth Road, Halfway House, Midrand

Please note:
Bookings close on wednesday 4 October 2006. Refunds will not be given for non-attendance, unless cancelled in writing and received five working days before the start of the event; however substitute delegates are welcome.

DETAILS

First Name Surname
Company name Title Prof DrMr Mrs Ms
Tel no. at work Fax
Cell E-Mail address
Postal Address Postal Code
For catering purposes: Vegetarian KosherHalaalOther If "other", Please specify
GUEST 1:
First Name		 Surname
Company name Title Prof DrMr Mrs Ms
For catering purposes: Vegetarian KosherHalaalOther If "other", Please specify
GUEST 2:
First Name		 Surname
Company name Title Prof DrMr Mrs Ms
For catering purposes: Vegetarian KosherHalaalOther If "other", Please specify
GUEST 3:
First Name		 Surname
Company name Title Prof DrMr Mrs Ms
For catering purposes: Vegetarian KosherHalaalOther If "other", Please specify
GUEST 4:
First Name		 Surname
Company name Title Prof DrMr Mrs Ms
For catering purposes: Vegetarian KosherHalaalOther If "other", Please specify

I wish to attend the function and have paid / will pay the amount due as follows: (Please complete one of the methods of payment listed below)

Banking details Direct deposit to Standard Bank, Parktown, Branch Code 000355 Account No. 200853058 stating “[guest name] SAICE Awards Oct 12” and fax a copy of the deposit slip stating guest/s name/s. 
Method 1 I have made a direct deposit of (R275.00 x no. of guests = total) into your Bank Account.  I require a Tax Invoice.
Method 2 Please supply a Tax Invoice by fax to the above number and I will pay by Cheque / Direct Bank deposit.