NATURAL FORESTS AND WOODLANDS SYMPOSIUM III



|7th ISWE |

|13 – 17 October 2019 |

|(4 nights, Sunday night to Thursday morning) |

|REGISTRATION AND ACCOMMODATION FORM |

|Please complete or indicate with ‘X’ wherever applicable and return to: |

|Mpumalanga Promotion Events : Tel 082 447 1570 or E-mail : dot@mpu.co.za |

|*Exchange rate: ~14 South African Rand = 1 US Dollar |

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|TITLE (Prof/Dr/Mr/Mrs/Miss) | |

|FIRST NAME | |

|SURNAME | |

|ORGANISATION | |

|ISWE MEMBER | Yes No |

|CELL PHONE | |

|FAX NUMBER | |

|E-MAIL | |

|ACCOMPANYING PERSON’S | |Number of people: |Total price: |

|FULL NAMES (each requires R372 conservation | | | |

|fee) | | | |

|Those accompanying will join for Icebreaker | |Number of people: |Total price: | |No |Other (please specify) |

|(Oct 13th); add R330/person | | | | | | |

|Those accompanying will join for Bushbraai | |Number of people: |Total price: | | | |

|(Oct 15th); add R871.63/person | | | | | | |

|DIETARY REQUIREMENTS (Available options: | | | | |

|Vegetarian, Vegan, Lactose intolerant, Wheat | | | | |

|intolerant, and Other) | | | | |

| | |SUB-TOTAL | | | | |

|Invoice Details: Address and Vat number |

|(PLEASE COMPLETE THIS PART IF YOU REQUIRE A TAX INVOICE FOR MAKING PAYMENT) |

|Any queries regarding accommodation must be directed to Mpumalanga Promotion Events |

|Tel: +27 82 447 1570 or email dot@mpu.co.za |

|Delegates Registration Fee |# PEOPLE |YOUR TOTAL |

|1. Delegate registration (member: R6300; nonmember: R8400) | | |

|Accommodation options – 4 nights (rate per person per night) | | |

|Bungalow – 2 bed, bathroom, fridge, sink – single (R1396.83) | | |

|Bungalow – 2 bed, bathroom, fridge, sink – sharing (R690) | | |

|Bungalow – 3 bed, bathroom, fridge, sink – sharing (R554.15) | | |

|Safari tent – 4 bed, communal bathroom and kitchen – single (R698.92) |FULL |FULL |

|Safari tent – 4 bed, communal bathroom and kitchen – sharing (R350) |FULL |FULL |

|Safari tent – 4 bed, communal bathroom and kitchen – sharing (R290.88) |FULL |FULL |

|Safari tent – 4 bed, communal bathroom and kitchen – sharing (R261.59) |FULL |FULL |

|Camp site with power point-bring your own tent – single (R359) | | |

|Camp site with power point-bring your own tent – sharing (R179.50) | | |

|If sharing accommodation, please indicate the name of the person(s): | |

|Transfer from Oliver Tambo International to Skukuza 13th @ 9h00 (R900) | | |

|Transfer from Skukuza to Oliver Tambo International 17th @ 9h00 (R900) | | |

| |SUB-TOTAL | |

|Activities (money generated from these activities goes toward postgraduate bursaries to support students |# PEOPLE |YOUR TOTAL |

|conducting research in the field of wildlife endocrinology in one of South Africa’s National Parks): | | |

|October 14th: | | |

| Guided Walk @ 05h00 (R577) |FULL |FULL |

| Sunrise Game Drive @ 05h00 (R333) | | |

| Visit to Research Lab @ 15h30 (R200) |FULL |FULL |

| Visit to Rhino Boma @ 15h00 (R250) |FULL |FULL |

|October 15th: | | |

| Birding Trip @ 05h00 (R150) |FULL |FULL |

| Guided Walk @ 05h00 (R577) |FULL |FULL |

| Sunrise Game Drive @ 05h00 (R333) | | |

| Visit to Research Lab @ 15h30 (R200) | | |

| Visit to Rhino Boma @ 15h00 (R250) |FULL |FULL |

|October 16th: | | |

| Birding Trip @ 05h00 (R150) |FULL |FULL |

| Guided Walk @ 05h00 (R577) |FULL |FULL |

| Sunrise Game Drive @ 05h00 (R333) | | |

|October 17th: | | |

| Veterinary Procedure @ 05h00 (reimbursed if plans change) (R850) | | |

| |SUB-TOTAL | |

| |TOTAL PAYMENT | |

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|PAYMENT TO BE MADE TO: |

|Jacqueline’s Conferences and Event Planners t/a Mpumalanga Promotions Events |

|ABSA, Nelspruit |

|Account number: 4065173200 Branch Code: 632005 |

|ABSA Square, 20 Paul Kruger Street Nelspruit, Swift Code ABSAZAJJ |

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|Please use your surname/iswe2019 as your payment reference (e.g. smith/iswe2019) |

|Please send your booking form and deposit slip / proof of payment to Jackey Deacon at |

|fax number 086 6130 360 or e-mail to dot@mpu.co.za |

| |

|Check box if you would like to pay by credit card. You will be sent an invoice and a link to enter your |

|credit card information. |

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