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Member Registration Form
COST:
Early Bird: R6 500.00 (Valid until 31 March)
Standard: R7 500.00
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* Indicates required question
Name and Surname
*
Your answer
Membership Number
*
Your answer
Membership Type
*
CFE
Associate
Affiliate
Required
Preferred name to appear on name badge
*
Your answer
ID Number | Passport Number
*
Your answer
Email Address
*
Your answer
Cell Number
Your answer
Organisation
*
Your answer
Job Title
*
Your answer
Select booking type
*
Black Friday Special
Single Early Bird Registration
Part of an Exhibitor Discounted Booking
Exhibitor Pass
Required
My contact details (email address) may be published on the delegate list for networking purposes
*
Yes
No
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