Name of Organisation *

First name of person booking *

Surname of person booking *

Registered Company Address *

Postal Code *

Telephone Number *

Organisation VAT Number *

Email Address *

Are you a paid-up member of Coschem or SAAFoST? Select ... Yes No

If you require a Proforma Invoice (a formal quotation) in order to apply for a Purchase Order Number or something similar, before getting a Tax Invoice, tick here.

• Invoices will be sent by email in response to booking.
• Please pay in full by EFT.
• Payment deadlines are displayed above.
• Only those who have paid will be permitted to attend.
• Cancellation and/or no-show:
  • Any cancellation received in writing before the payment deadline date will incur no cancellation fee.
  • Cancellation after that date or no-show by the delegate will be billed for the full amount.

I confirm that I have read and understood the above conditions of registration. *