Registration Form

 

  

Registration closes 5 November 2003

All fields are required unless marked with a "*".
Name, Title and Company will appear on badge as submitted.

Last Name, First Name

 

Designation

 

Company/Affiliation

 

Address

 

Code*

 

City

 

State/Province*

 

Zip/Postal Code

 

Country

 

Telephone

 

Facsimile*

 

E-Mail

 


Please Indicate:

Corporate

Agency/Consultant

Supplier
Registration Fee:

ACTE Member* R 350.00
Non-Member R 650.00
Non-Member Joining** R 1750.00
      

*     Please note that ACTE Membership is INDIVIDUAL Membership only
**   Benefits include Membership for an entire year and savings to all
       ACTE Conferences, free subscription to ACTE Publications and more. 		 
Payment:

Direct Bank deposit / Electronic Transfer:
Association of Corporate Travel Executives
Standard Bank, Parktown
B/Code : 03-55
A/C : 200 827 529
  


(Note: To register by Facsimile, please fax Deposit slip & registration form to 011 326 1312 by 5 November 2003)

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