Real Estate Investor Magazine South Africa February 2015 | Page 25

REGISTRATION FORM AFRICA GRI 2015 REGISTER ONLINE ALTERNATIVE WAYS TO REGISTER Email MR/MRS/DR FIRST MIDDLE LAST Tear out & fax this form to: [phone] Tel w w w. g l o b a l r e a l e s t a t e . o r g /A f r i c a 2 015 Scan & email this form to: [email protected] Fax Call & talk to us on: [phone] AFRICA GRI 2015 Johannesburg, 21-22 April (III/JR/...) Advance Saver NICKNAME Before 20 Feb Early Bird Rate Before 27 Mar POSITION/JOB TITLE Standard Rate After 27 Mar SINGLE SOUTH AFRICA REIM DELEGATE RATE DISCUSSION (CO-)CHAIR * US$ 2,075  US$ 1,975  US$ 1,875 US$ 2,375  US$ 2,175  US$ 2,375 US$ 2,575  US$ 2,375  US$ 2,575 DIRECT TEL ** The networking dinner is included in the event registration fee only for Discussion Co-chairs who register by 16th January 2015. Dinner Rate EMAIL  US$110** per person Dinner is open to registered Co-Chairs, delegates and their spouses only. NUMBER OF DINNER TICKETS: 1  2 (with spouse)  SPOUSES NAME:_______________________________ TOTAL COST OF DINNER TICKETS:_________________ COMPANY ½ Day Workshops 21 April (9:00-13:00) ASSISTANT ASSISTANT TEL ASSISTANT EMAIL  US$ 300 per person CHOSE WORKSHOP: q q q q DOING BUSINESS IN: Mauritius DOING BUSINESS IN: Rwanda DOING BUSINESS IN: Angola DEVELOPER WORKSHOP: Going to the Bank Fee for payment methods other than credit card*:  US$ 100 Fee for onsite payment (credit card or cash only)*:  US$ 175 * Co-chair rate is only available to qualifying investors, developers and lenders. ADDRESS CITY STATE/PROVINCE/COUNTY ref: saREIM n PAYMENT DETAILS A receipt will be returned. PLEASE TICK POSTCODE COUNTRY qTRANSFER (+US$100) qCHEQUE (+US$100) qCREDIT/DEBIT CARD (please fill in mandatory fields*) *CARD NUMBER DIVISION’S WEB ADDRESS (EX: WWW.COMPANY.EXT/DIVISION...) *NAME ON CARD  q q q Email from GRI Email from Other* Brochure q q q *(1)CSC/CVV *EXPIRY Where did you hear about this event? Internet* Magazine/Newspaper* *Please specify source: _______________________ Colleague/Friends* *SIGNATURE STREET ADDRESS q INVESTOR q LAWYER q PENSION (Investor) q A&E (Architect/Engineer) q PROPERTY COMPANY (Developer) q TITLE (COMPANY) q INFRASTRUCTURE COMPANY q GOVERNMENT (Officials) q LENDER q ECONOMIC DEVELOPMENT q HOTEL (Company) q ACADEMIC (Think Tank) q INVESTMENT BANK q MEDIA q CORPORATE (User) q TRADE (Group/Exhibit/ q AGENT (Surveyor) q ADVISOR (Accountant/Tax) CREDIT CARD BILLING ADDRESS, if different from adress on left (important, please provide) *CITY STATE/COUNTY/PROVINCE *POSTCODE (1) THE CSC IS THE FINAL THREE DIGIT NUMBER PRINTED ON THE REVERSE OF YOUR CARD ALONG THE SIGNATURE STRIP. FOR AMERICAN EXPRESS CARDS, PLEASE PROVIDE THE FOUR DIGIT CVV LOCATED ABOVE THE CARD NUMBER. Conference Organiser) q OTHER_________________ Terms & Conditions Cancellation and transfer to colleagues must be in writing. Transfer to colleagues is possible at any time. 90% refund will apply if cancellation notice is received in writing by 6 weeks before the event. With due sensitivity the GRI may film or photograph this event for printed & electronic marketing purposes. By attending the event you are giving consent to be filmed or photographed. No individually identifiable images will be used where requested. We regret no refunds are possible for cancellations received thereafter. For further registration notes please visit our website: www.globalrealestate.org/Africa2015 Inquiries & Further Information UK Tel: [phone] UK Fax: [phone] [email protected] www.globalrealestate.org Main: 511 Avenue of the Americas - Suite 4100 New York NY 10011 • USA. Europe/Asia: 10 Melton Street, London, NW1 2EB • UK.