Registration Form - Infrastructure Africa

4 – 5 June 2024, Cape Town International Convention Centre – USD $850

Instructions: To attend this event, please register by completing all fields on the form below. You can register up to 10 people using one form. The invoice will be sent to the ‘Payment Details’ email address right away. Prices already include VAT. If you need a quotation or assistance, please contact us via email at info@infrastructure-africa.com.

2024 Delegate Registration Form

Delegate Registration:

EVENT SELECTION(Required)

2 day Africa Infrastructure Africa: 4 - 5 June 2024 (USD 850.00 incl VAT)

Please select at least one event from the checkboxes above

Select number of Delegates: (up to 10)

Your total VAT inclusive price:

DELEGATE/S DETAILS:

Complete the information for all the people who will attend under your booking. If you need more names, select more Delegates above.

Delegate 1

Title e.g. Mr / Mrs Delegate 1) Name and Surname Email Cell Phone Job Description / Role

Delegate 2

Title e.g. Mr / Mrs Delegate 2) Name and Surname Email Cell Phone Job Description / Role

Delegate 3

Title e.g. Mr / Mrs Delegate 3) Name and Surname Email Cell Phone Job Description / Role

Delegate 4

Title e.g. Mr / Mrs Delegate 4) Name and Surname Email Cell Phone Job Description / Role

Delegate 5

Title e.g. Mr / Mrs Delegate 5) Name and Surname Email Cell Phone Job Description / Role

Delegate 6

Title e.g. Mr / Mrs Delegate 6) Name and Surname Email Cell Phone Job Description / Role

Delegate 7

Title e.g. Mr / Mrs Delegate 7) Name and Surname Email Cell Phone Job Description / Role

Delegate 8

Title e.g. Mr / Mrs Delegate 8) Name and Surname Email Cell Phone Job Description / Role

Delegate 9

Title e.g. Mr / Mrs Delegate 9) Name and Surname Email Cell Phone Job Description / Role

Delegate 10

Title e.g. Mr / Mrs Delegate 10) Name and Surname Email Cell Phone Type of business / Township

Choose Market Sector which represents you most:

PAYMENT DETAILS:

Please complete the information below. The invoice will be sent to this email address (please check carefully for typos)

Name/Surname of person completing this registration form

Cell phone number

Payment option:(Required)

1) Bank/EFT payment

2) Credit Card payment

Address (Compulsory, please complete all fields)

Full Company Name or Indivual to be invoiced Billing Address* - postal or street address VAT number or type N/A) Purchase order, Reference or type N/A Country

Send an optional comment to the organisers, or if you have an Association Code please enter it here.

How did you hear about the event?

Marketing email

Advertisement (billboard, print, radio)

Facebook, Instagram, Twitter

Consultant

Other

Terms and Conditions(Required)

Yes, I accept that:

• I agree to the full terms and conditions
• I confirm that I have read and understood the privacy policy
• I confirm that the contact information I have given is for the purpose of business communications

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TERMS AND CONDITIONS:

1. Participation fee includes access to the appropriate session presentations and networking opportunities, and post conference proceedings.
2. Payment of full delegate fee is due within 7 days of receipt of invoice, or immediately with registration if the booking is made within 2 weeks of the event. Siyenza Management reserves the right to refuse entry to the event should payment not be received prior to the event.
3. Should you be unable to attend, a substitute delegate is welcome at no extra charge.
4. Siyenza Management reserves the right to alter the programme without notice including the substitution, alternation or cancellation of speakers and/or topics and/or the dates of the event.
5. Siyenza Management is not liable for any loss or damage as a result of a substitution, alternation, postponement or cancellation of the event.
6. A complimentary ticket cannot be used by a person already registered for the event, no refund can be given respectively.
7. Cancellation policy: 50% refunded only if written notice is received 21 days before the event: 25% refunded if written notice is received 14 days before the event.
8. Registrants that do not attend the event after the cancellation date will be liable for 100% payment of the invoiced amount.
9. Any fee payable to Siyenza Management for participation at Infrastructure Africa will not be refundable, due to an Act of God, severe weather conditions, global health concerns, event cancellation due to circumstances beyond the control of the Organisers.

PRIVACY POLICY:
Siyenza Management takes your privacy seriously and you can unsubscribe at any time from any event communication from Africa Energy Indaba, Infrastructure Africa and Manufacturing Indaba. By registering for this event, we wish to use your information on the basis of our legitimate interests to keep in contact with you about future editions of this and other relevant events, products and services which may be of interest to you. We will only ever use the information we collect or receive about you in accordance with our Privacy Policy. If you prefer us not to contact you about relevant events, products and services that we believe you will be interested in, you can manage your preferences or unsubscribe by emailing info@siyenza.za.com