EmailMe Form - WABER & SuDBE South Africa 2024 registration

Name *

First Last

Position

Institution or Company

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Contact: Landline No

Contact: Cell No *

Registration Fees *

GENERAL (US$ 500)

STUDENT (US$ 350)

ONLINE (US$ 350)

Please confirm under which category you fall, either GENERAL, STUDENT or ONLINE

Technical Tour/Visits - US$120 *

Yes

No

Please indicate if you would like to join the Technical Tour/Visits. An additional US$120 will be added to your registration fee

Conference Dinner - US$65 *

Yes

No

Please indicate if you would like to attend the Conference Dinner. An additional US$65 will be added to your registration fee

Vegetarian Diet

Yes

No

Personal information submission agreement *

I agree that by submitting my personal information, it will be saved and processed according to the South African POPIA act and will only be used for the purposes of sending information concerning this convention and future WABER & SuDBE conventions