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Johannesburg, South Africa
14 September 2004
*****Registration closes 10 September 2004****
All fields are required unless marked with a "*".
Name, Title and Company will appear on badge as submitted. |
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Name
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Title
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Company/Affiliation
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Address
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Address*
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City
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State/Province*
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Zip/Postal
Code
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Country
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Telephone
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Facsimile*
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E-Mail
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Registration
Fee:
NB: Due to popularity and limited seating, a maximum of 5 registrations per company will be allowed.
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ACTE Member R 180
Non-Member R 380
Non-Member Joining R 1 750
Complimentary
(
If registering as a comp, please include "code")
Registration fee does not include parking (R12.50) per vehicle)
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Payment:
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Check
Direct Bank deposit/Electronic Transfer:
Association of Corporate Travel Executives
Standard Bank, Parktown
Bank Code: 00-03-55
Account Code: 200 827 529
To pay by check, please do not submit this form on-line. Instead use your browser's
print feature
to print the completed form, make written note that a check has been mailed,
and fax it to Fax +27 11 326-1312. You should also print this form if you require a receipt of
registration.
You may submit this form online by Fax +27 11 326-1312 or
Mail:
Telsaf Datahouse, Room 215 - 5 Conrad Drive, Blairgowrie, Randburg - Johannesburg, South Africa 2194
You may call T: +27-118866964 for questions or more information.
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