Groundwater Modelling Course 30 October - 01 November 2024

Delegate Registration Page

Please select:

Tax invoice

Quotation only

Delegate Information

Delegates

Title	Name	Surname	Company / Organisation	Job Title	Email Address	Contact Number	Special Dietary requirement?	Operations
Title	Name	Surname	Company / Organisation	Job Title	Email Address	Contact Number	Special Dietary requirement?

Billing Information

Billing Address

Company VAT Number (if applicable)

Fee Structure

Select one of the following (please note VAT will be added on the quote/ invoice) :

Member Fee - R3450 (GWD/ GSSA/ IAH-SA/ GAKZN/ WISA member)

Non-Member fee - R3750

Student Fee - R1500

Invited / Sponsored Attendee

Comments

Any additional comments / requests for the attention of the Organiser?