2018 Annual Conference Registration Posted on 2016-03-072019-03-29 by grafuser Jurisdiction (if applicable): Postal Address (required): City (required): Country (required): Postal Code (required): Telephone No. (required): Facsimile No. (required): E-Mail (required): Conference Registration: Attendee No. 1 Title (required): Mr.Ms.Dr.Prof.Other Other: Surname (required): First Name (required): Organisation (required): Position (required): E-Mail (required): Golf-Shirt Size (required): SMLXLXXLXXXL Dietry Requirements (required): NoneHalaalKosherVegetarianStrict HalaalDiabeticOther Other: Conference Registration: Attendee No. 2 Title: Mr.Ms.Dr.Prof.Other Other: Surname: First Name: Organisation: Position: E-Mail: Golf-Shirt Size: SMLXLXXLXXXL Dietry Requirements: NoneHalaalKosherVegetarianStrict HalaalDiabeticOther Other: Conference Registration: Attendee No. 3 Title: Mr.Ms.Dr.Prof.Other Other: Surname: First Name: Organisation: Position: E-Mail: Golf-Shirt Size: SMLXLXXLXXXL Dietry Requirements: NoneHalaalKosherVegetarianStrict HalaalDiabeticOther Other: Conference Registration: Attendee No. 4 Title: Mr.Ms.Dr.Prof.Other Other: Surname: First Name: Organisation: Position: E-Mail: Golf-Shirt Size: SMLXLXXLXXXL Dietry Requirements: NoneHalaalKosherVegetarianStrict HalaalDiabeticOther Other: Conference Registration: Attendee No. 5 Title: Mr.Ms.Dr.Prof.Other Other: Surname: First Name: Organisation: Position: E-Mail: Golf-Shirt Size: SMLXLXXLXXXL Dietry Requirements: NoneHalaalKosherVegetarianStrict HalaalDiabeticOther Other: Conference Registration Fee per person: USD250.00 (members) Conference Registration Fee per person: USD300.00 (non-members) PLEASE NOTE ONLY EFT PAYMENTS ARE ACCEPTED Account name: GRAF Account number: 331 533 901 Bank: Standard Bank Branch: Polokwane Square Branch code: 052 548 00 Account Type: Cheque Account Swift code: SBZA ZA JJ Reference: G15 Jurisdictional/Institution Name Please email proof of payment to Kotzea@lgb.co.za or fax to 086 505 3460 Deadline for Registration: TO BE CONFIRMED