2019 Annual Conference Registration

GRAF WEB BANNER [RESIZED]

  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):   Other:
  Surname (required):
  First Name (required):
  Organisation (required):
  Position (required):
  E-Mail (required):
  Golf-Shirt Size (required):
  Dietary Requirements (required):   Other:
  Conference Registration: Attendee No. 2
  Title:   Other:
  Surname:
  First Name:
  Organisation:
  Position:
  E-Mail:
  Golf-Shirt Size:
  Dietary Requirements:   Other:
  Conference Registration: Attendee No. 3
  Title:   Other:
  Surname:
  First Name:
  Organisation:
  Position:
  E-Mail:
  Golf-Shirt Size:
  Dietary Requirements:   Other:
  Conference Registration: Attendee No. 4
  Title:   Other:
  Surname:
  First Name:
  Organisation:
  Position:
  E-Mail:
  Golf-Shirt Size:
  Dietary Requirements:   Other:
  Conference Registration: Attendee No. 5
  Title:   Other:
  Surname:
  First Name:
  Organisation:
  Position:
  E-Mail:
  Golf-Shirt Size:
  Dietary Requirements:   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: 10114451247
Bank: Standard Bank
Branch: Vincent Park
Branch code: 053721
Account Type: Current Account
Swift code: SBZA ZA JJ
Reference: G15 Jurisdictional/Institution Name
  Please email proof of payment to graf@ecgb.org.za or fax to 043 748 2218
  Deadline for Registration: TO BE CONFIRMED