Booking Form

Name and surname of Authorised Representative*

Name of Organisation*

Email Address*

Phone Number*

Fax Number*

Vat Reg Number*

Physical Address*

Number of Delegates* (Delegates @ R 2,000.00 + VAT each)

Names & business titles of delegates*

Order Number (if required)*

I have read and agree to the terms and conditions of the Rising Star Summit*

I agree