REGISTRATION FORM Organisations outside of South Africa. Rates quoted are in US dollars

3 - 5 June 2013

DISCOUNTS

Sandton Convention Centre Johannesburg, South Africa

If there are four persons participating from the same company a fifth person can be registered for FREE!

Please complete and return to [email protected] or fax to +27 21 702 4340 CONFERENCE DELEGATE DETAILS:

BILLING DETAILS:

Please copy for multiple registrations Mr/Mrs/Dr/Prof:

Bank transfer

First name:

Last name: Position:

CVC:

Company name:

Expiry date:

Card type:

Address:

Amex

Diners

MasterCard

Visa

Other (please specify):

City:

Cardholder’s name:

Province:

Postal code:

Cardholder’s signature:

Country: Phone: (

Credit card

Credit card number:

Contact person for invoicing: )

Cell phone: (

Fax: (

)

Organisation purchase order number:

)

Organisation VAT number:

Email:

Name:

Authorising manager:

Email:

Date:

Authorising signature:

Phone: (

I agree to the full terms and conditions* Dietary requirements:

Kosher

YES, REGISTER ME FOR:

Rates only applicable to internationally domiciled organisations

Halaal

)

Fax: (

)

Other (please specify):

Early bird rate 1: For bookings and payments received before 15 March 2013

Early bird rate 2: For bookings and payments received between 16 March and 3 May 2013

For bookings and payments received from 4 May 2013

Gold pass 3 day conference registration: 3 – 5 June 2013

Includes access to pre-conference seminars, 2 day conference programme and access to exhibition Government, Academic, Parastatals, Associations, NGO’s

$795 + 14% VAT = $906.30

$895 + 14% VAT = $1020.30

$995 + 14% VAT = $1134.30

Manufacturers and vendors

$995 + 14% VAT = $1134.30

$1095 + 14% VAT = $1248.30

$1190 + 14% VAT = $1356.60

Select a pre-conference seminar: African Coal Ash Forum OR

Select one morning & one afternoon pre-conference seminar: Finance and investment opportunities for construction in real estate (AM) Industrial concrete floors and pavements (AM) Management for energy intensive users (PM) Achieving excellence with admixtures (PM)

2 days conference registration: 4 – 5 June 2013

Includes access to 2 day conference programme and access to exhibition Government, Academic, Parastatals, Associations, NGO’s

$545 + 14% VAT = $621.30

$645 + 14% VAT = $735.30

$745 + 14% VAT = $849.30

Manufacturers and vendors

$795 + 14% VAT = $906.30

$895 + 14% VAT = $1020.30

$995 + 14% VAT = $1134.30

Site visits:

Kusile Power Station $110 + 14% = $125.40

Pre-conference seminar:

African Coal Ash Forum $299 + 14% = $340.86

Audio recordings of sessions

$75+ 14% VAT = $85.50

Waterfall Estates $85 + 14% = $96.90 The African Ash Forum is open to Gold Pass delegates only but is separately bookable!

•• 14% VAT applicable to all events taking place in South Africa •• Rates exclude 5% administration fee which will be included / added to your invoice •• If payment is not received by the time of the early bird price expiring, the next tier pricing will apply

CONTACT US:

Disclaimer Please tick the appropriate box should you not wish to receive information from this or related events or your information to be disclosed to: Hypenica

Concrete.TV

Reputable third parties

Terms and conditions* •• Participation fee includes: Access to all presentations and networking opportunities, All food and refreshments during the conference sessions (excludes evening meals), All post-conference presentation slides and notes for training purposes, Access to exhibition room (where applicable), On-site assistance with networking, Access to attend cocktail reception, (where applicable). •• Participation excludes: Parking tickets, accommodation, dinners and breakfast. •• Organisers reserve the right to alter this programme without notice or to cancel with full refund. Neither the organisers nor their suppliers will be held responsible for any injury, loss or damage incurred to participants at the event. Right of participation reserved. •• Discounts: For group discounts (more than 5 attendees from the same organisation) please contact the registrations team: [email protected] •• Payment details: On receiving your completed registration form, we will send an official confirmation and invoice within 5 days. Payment of the full delegate fee is due 14 days from the invoice date, or immediately with registration if the booking is made within one month of the event. In the event that payment has not been received before the start of the event, delegates will be refused entry. Please check with the necessary payment department that payment has been made before travelling to the conference. •• Cancellation policy: Cancellations made within 48 hours of receipt of the completed registration form will be eligible for a full refund. •• Cancellations received in writing more than one month prior to the start of the event will be refunded less a 50% cancellation fee. •• Cancellations received in writing within one month of the start date of the event will receive no refund and registrants will be liable for payment of 100% of the invoiced amount. A substitute delegate can be named at any time before the event starts and no fees will be applied to this. •• No-Shows: Registrants who do not attend the event after the cancellation date will be liable for payment of 100% of the invoiced amount. •• Important notes: This booking form constitutes a legally binding contract. It may be necessary for reasons beyond the control of Hypenica to change the content and timing of the programme, the speakers, the date or the venue. In the unlikely event of the programme being cancelled, Hypenica will issue a credit note or make a full refund but disclaim any further liability. By submitting your details, you agree to the use of your personal information as set out in our privacy policy on www.hypenica.com.

Code: DS004

www.totallyconcrete.co.za

7 Bell Crescent, Westlake Business Park, Tokai PO Box 30875, Tokai, 7966, South Africa Phone: +27 21 700 4300 Fax: +27 21 702 4340 Sponsorship and exhibition information: [email protected] Registration information: [email protected] Conference information: [email protected]

registration form -

Hypenica. Concrete.TV. Reputable third parties. Terms and conditions* ... It may be necessary for reasons beyond the control of Hypenica to change the content.

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