30 August - 4 September 2009, Berg-en-Dal, Kruger National Park, South Africa

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Registration Form

Title :
Initial(s) :
First Name(s) :
Surname :
Name to be displayed on name tag :
Department :
Organisation :
Postal Address :
Town / City :
Postal/Zip code :
Country :
e-mail :
Telephone (inc. country & area codes) :
Fax (inc. country & area codes) :

Registration : Full delegate   Full time student   Accommpanying person  

Name(s) of accompanying person(s) :

Special dietary requirements :
Other special requirements :

Please contact the Workshop Secretariat for a quote should you wish to bring your family to INDABA 6
Preferred type of accomodation : Type A
Type B
(Share with one)
Type C
(Share with two)
Type D
(Share with four)
Type E
(Camping site 1 occupant)
Type E
(Camping site 2 occupants)

I would like to share with :

I would like to book 5 breakfasts (Monday - Friday) for   people
I would like to book 3 dinners (Monday - Wednesday) for   people

Type of presentation : Oral Poster None

Provisional Title :

Bus transport from OR Tambo Int. Airport (Johannesburg) to Berg-en-Dal (and return) for   people
Bus transport from Kruger Mpumalanga Int. Airport (Nelspruit) to Berg-en-Dal (and return) for   people

Please check all your details carefully before clicking the "Send" button.
Clicking "Clear" will clear all the entries on the form.

Please note: Online submission of this form requires access to your e-mail account. If the copy of the browser you are using cannot access your e-mail account, please either print and fax this completed form, or download and complete the text only version and fax (+27 12 807 1699) or email () it to Thereza Botha.
You should receive confirmation of the recept of your registration form within a few days of its submission. If you do not, please contact Thereza Botha to check its status.

 Home   Venue   History   Invited Speakers   Papers   Travel   Workshop Fees   Registration 

 Target Dates   Sponsors   General   Committees 
 Indaba5 Pictures   Links   Other Meetings 

This page was last updated 25 January 2009.  
Site developed by Dave Liles.