2018 AFMA SYMPOSIUM REGISTRATION FORMDelegate's Details Name & Surname Company Name Contact Number E-mail Are you SACNASP registered? Symposium Meet & Greet Function   Edit Delete There are no Delegates' Details. Add Delegate's Details RESPONSIBLE PERSON IN YOUR FINANCE DEPARTMENT FOR PAYING THE ABOVE ACCOUNTName & Surname* Name Surname Company Name*Postal Address* Postal Address City Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Contact Number*E-mail* VAT Registration Number TOTAL Price: R0.00 AFMA BANKING DETAILSPayment, directly to the AFMA bank account, must be done prior to attendanceAccount Name: AFMA Bank: First National Bank Branch Code: 261-550 (Centurion) Account Number: 588 200 116 40 Reference Number for Payments: SYMP + Company Name TERMS AND CONDITIONS All cancellations must be received in writing by AFMA at email@example.com. Cancellations received before or on 17 October 2018 will receive a full refund, less a 10% administration fee. No refunds will be issued for cancellations received after 17 October 2018. All refunds due will only be issued after the symposium. AFMA reserves the right to decline a request for a refund. No-shows will not be refunded and will be liable for full payment. Terms and Conditions* I accept the terms and conditions of this registration CommentsThis field is for validation purposes and should be left unchanged. Please be patient after clicking the “Submit” button. It may take up to a minute for your information to be submitted to our system after pressing the “Submit” button.