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Sponsorship Form in ZAR - R

Organisation

Postal address, including city and province

Postal code

Country

Full name & surname

Email address

Work telephone

Country Code Number

Mobile

Country Code Number

VAT number

Logo and web details will be placed on the conference website - 500Kb max file size

 

Sponsorship Level

Bronze Level: between 2000 and 9000 ZAR         

Silver Level: between 10 000 and 20 000 ZAR     

Gold Level: between 21 000 and 30 000 ZAR       

Platinum Level: between 31 000 and 50 000 ZAR

Diamond Level: more than 50 000 ZAR                

Specify amount in ZAR (R):

 

Payment Method

Payment is only by bank or electronic transfer

All information provided will be handled with the strictest confidence. The organisers will not be responsible for identifying funds if the Institution names are not mentioned.
Costs for an international transfer will be for the sponsor's own account

Note an invoice will be emailed to the email address submitted on this form