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GOPIO 2010 WORLD  CONVENTION
Southern Sun Elangeni Hotel, DURBAN, SOUTH AFRICA

28^th - 31^st MARCH  2010

REGISTRATION FORM

CONTACT DETAILS
Surname:  _______________________________				First Name:___________________________ Title:   _______________________________
Institution/Organisation:  ________________________________________________________________________ Address: ________________________________________________________________
Town/City:______________________________			Country:____________		Postal Code:_____
Business Tel:____________________________		Business Fax:___________________________
Mobile Tel:_____________________________	Home Tel:_____________________________
Email: ______________________________________

CONFERENCE REGISTRATION – ZAR (SOUTH AFRICAN RANDS)
Conference Date:	28^th – 31 March 2010
Venue:	Southern Sun Elangeni Hotel, Durban, South Africa
Registration Fees:	Please tick the appropriate Registration Fee
Early Bird Registration	R 1750.00 (Before 28 February 2010)    ___
Late Registration	R 2000.00 ___
Day Delegate	R 500.00                         ___
CONFERENCE  REGISTRATION SUB-TOTAL:		R_______________

ACCOMMODATION

Accommodation will be offered at the following hotels. A limited number of rooms are available at each hotel and reservations will be made on a first come first serve basis. Accommodation bookings must be made directly though the conference secretariat to qualify for the discounted rates and will only be confirmed once full payment is received. Kindly indicate which hotel you would like to staying at.

Coastlands Self Catering	2 Sharing	R240.00 per person sharing per night	__
	3 Sharing	R193.00 per person sharing per night	__
	4 Sharing	R145.00 per person sharing per night	__
The Pavilion Hotel	Single Room	R500.00 per person per night	__
	Double Room	R250.00 per person sharing per night	__
Garden Court South Beach	Single Room	R699.00 per person per night	__
	Double Room	R350.00 per person sharing per night	__
Riverside Hotel	Single Room	R900.00 per person per night	__
	Double	R600.00 per person sharing per night	__
Royal Hotel	Single Room	R1000.00 per person per night	__
	Double	R630.00 per person sharing per night	__
The Southern Sun Elangeni Hotel (Beach Hotel)	Single Room	R1408.95 per person per night	__
	Double Room	R777.70 per person sharing per night	__

Hotel Selected : ______________________________________

If sharing a Double room, please provide names of person/s sharing with:

Title : _________    First Name & Surname: ______________________________________________________

Check in date:     _______________________________

Check out date:     _______________________________

Total number of nights:               _______________________________

ACCOMMODATION SUB-TOTAL:

R_____________

FLIGHT DETAILS

Do you require shuttle transport from the airport to your hotel and back?   Yes ___ No ___

For transportation purposes kindly indicate your flight details below.

Arrival Date :           ____________________________________

Arrival Time :          ____________________________________

Flight Number:        ____________________________________

Departure Date       ____________________________________

Departure Time       ____________________________________

Flight Number:        ____________________________________

OPENING CEREMONY & GALA DINNER: (included in registration fee)
For catering purposes please indicate if you will be attending and if you will be bring an accompanying person to the Opening Ceremony and the Gala Dinner.  PLEASE NOTE:   Accompanying person will have to pay a fee of R235 to attend the Opening Ceremony and R435 to attend the Gala Dinner.  Conference registered delegates do not have to pay for the Opening Ceremony or the Gala Dinner, payment only for non-registered guests.
I will be attending the Gala Dinner _	I will be attending the Opening Ceremony		___
I will NOT be attending the Gala Dinner                         __	I will NOT be attending the Opening Ceremony		___
Accompanying person will be attending the Gala Dinner _	Accompanying person will be attending the Opening Ceremony		___
OPENING CEREMONY & GALA DINNER SUB-TOTAL:		R_______________
DIETARY REQUIREMENTS: Halaal ___                          Vegetarian ___ Diabetic ___ Other Please Specify :___________________________________

OPTIONAL TOURS / SPOUSAL PROGRAM
Tours will depart from the conference venue (Southern Sun Elangeni Hotel).  Please note that these tours are optional and requires a minimum of 10 delegates per tour to take place.  Tours are only confirmed once full payment is received. All tours include the following:  Coach with Professional Driver Tour Guide Drive-by’s and site visits Tour 1:  Half Day Valley Of A Thousand Hills:     R370.00 per person Tour 2:  Half Day Gateway Shopping Tour:                  R250.00 per person Tour 3:  Half Day Victoria Street Market Tour:                R250.00 per person Tour 4:  Full Day Hluhluwe Tour incl Lunch:                  R900.00 per person (Pre / Post Tour) Tour 5: Full Day Tala Game Reserve Tour incl Lunch:             R650.00 per person (Pre / Post Tour)  For detailed descriptions of the above mentioned tours, kindly visit the GOPIO website  on www.gopiosa.co.za Tour option:  ___________________________________ Preferred Tour Date: ___________________________ Will an accompanying person be joining you on the tour      Yes     ___                   No ___
TOUR SUB-TOTAL	R_______________

CONFERENCE PAYMENT SUMMARY
Registration Fee		R
Accommodation Fee		R
Day Delegate Conference Fee		R
Accompanying person attending the Opening Ceremony		R
Accompanying person attending the Gala Dinner		R
Tour Fee		R
Accompanying Person Tour Fee		R
TOTAL PAYMENT		R_______________
METHOD OF PAYMENT
Direct deposit:   ___                     Credit Card:  ___
If paying by credit card, please complete Credit Card Payment Form that is on the website under registration, and submit to conference secretariat. All amounts in this document are in South African Rand.
Credit Card Number:  _________________________________________________ CCV (last 3 digits on back of your card): _________________________________________ Name on Card:  _________________________________________________ Signature:  _________________________________________________ Master Card        ___ Visa       ___ American Express    ___ Diners Card ___
OR Direct Deposit / Bank draft / Cheque – deposited directly into the following bank account:
Name of Account:	GOPIO 2010
Name of Bank:	Standard Bank
Account No.	250236192
Branch No. (Gale Place)	042526
Swift Code	SBZAZAJJ
Zip Code	042526

REGISTRATION CANCELLATION POLICY

All cancellations of registration fees must be received in writing on or before 12 March 2010.  No refund of registration fees will be possible if cancellations are received after 12 March 2010. Substitutions however can be made at any time.  Please advise us of substitutions in writing so we can have the correct name badges at the registration desk.

Completed forms to be forward to Metrolink PR either by fax +2731 2075635 or email tracym.metro@galileosa.co.za .

If you require any other information please contact:

Tracy Subramany                        +2731 2075633      tracym.metro@galileosa.co.za

Natasha Girdharie   +2778 580 8159      natashagirdharie@yahoo.com

Sundru Pillay   +2731 2075633       sundrup.metro@galileosa.co.za

Professor Dasrath Chetty chettytd@gmail.com

Head Office: 73 Beatrice Street, Durban, South Africa Tel: +2731 3094272

Web Division: 70 Corobrik Road, Durban, South Africa Tel: +2731 5696460 

www.artprint.co.za

info@artprint.co.za