EmailMeForm
Meeting Venue Pretoria Page
Welcome to Leribisi Lodge
Name and Surname
*
Company
*
Phone
*
Email
*
Type of Meeting
*
Please select type
1/2 Day
Full Day
24 Hour Day
4 Days And More
Number of Delegates
*
Date of Meeting
*
DD
/
MM
/
YYYY
Start Time of Meeting
*
HH
:
MM
AM
PM
AM/PM
End Date of Meeting
*
DD
/
MM
/
YYYY
End Time of Meeting
*
HH
:
MM
AM
PM
AM/PM
Conference or Meeting Seating
*
U-Shape
Class Room
Cinema Style
Banqueting Style
Tick the appropriate box!
Conference or Meeting Equipment
*
Flip Chart
Whiteboard
Data Projector / Proxima
PA System
Microphones and Cables
Folders and Stationary
Tick the equipment needed for
your Conference!
If you require overnight
Accommodation, Please complete the next section
Single Accommodation
Sharing Accommodation
Tick appropriate box or boxes!
Number of delegates for
Single Accommodation!
Number of delegates for
Sharing Accommodation
Any Special Requirements,
requests or enquiries!