Registration form – 57th SPAR International Congress

Registration form – 57^th SPAR International Congress

May 20^th to May 24^th, Sun City, South Africa

Please send your registration form before January 31^st 2012. If you have not booked your flights by that time, please register by that date and send us your flight details once these are confirmed but by no later than March 31^st 2012.

You can either register by using this registration form or by sending this form by email or fax to:

Mrs. Ans Cornelisse
SPAR International
Rokin 99/101
1012 KM Amsterdam
The Netherlands
Tel : + 31 20 626 67 49
Fax: + 31 20 627 51 96
e-mail: a.cornelisse@spar-international.com

Participant:
Surname:		First name:
(as will appear on your name badge)		(as will appear on your name badge)
Function:		Company:
Address:		Tel. No:
Postal code:		Fax. No:
City:		E-mail:
Country:

Accompanying person(s):
Person 1:	Surname:		First name:
		(for name badge)		(for name badge)
Person 2:	Surname:		First name:
		(for name badge)		(for name badge)

Travel arrangements Please fill in the appropriate box.
ARRIVAL
Arrival details in Johannesburg Oliver Tambo International Airport
Date of arrival dd/mm/yy	Time of arrival hh:mm	Flight number	Domestic or International terminal	Departure Airport

DEPARTURE
PART I – Return travel from Johannesburg Oliver Tambo International Airport on Thursday May 24th 2012 (flight not to depart earlier than 20:00 hours as we will do store visits this day)
Flight number	Time of departure hh:mm	Domestic or International terminal	Destination airport

Click here for a reminder of the schedule for Part I

PART II – Return travel from Johannesburg Oliver Tambo International Airport on Sunday May 27th 2012 (flight not to depart earlier than 18:00 hours based on programme for that day)
Flight number	Time of departure hh:mm	Domestic or International terminal	Destination airport

FLIGHT FROM JOHANNESBURG TO PHINDA SAFARI RESERVE ON FRIDAY 25/5/2012 AND FROM DURBAN TO JOHANNESBURG ON SUNDAY 27/5/2012 WILL BE BOOKED BY SPAR INTERNATIONAL AS PART OF POST-CONGRESS PARTICIPATION Click here for a reminder of the schedule for Part II

Dietary requirements
I have the following special dietary requirements e.g. food allergy, vegetarian:

	Price per person	No. of persons	Total
Congress Part I
Stay in Sun City, May 20^th – May 24^th	€ 1,450	x	€
Single room surcharge	€ 425		€
Partners programme	€ 250	x	€
Conference fee (meeting)	€ 1,450	x	€
Subtotal			€

Congress Part II
Post Congress in Johannesburg/Phinda includes flights from Johannesburg to Phinda and Durban to Johannesburg	€ 1,150	x	€
Single room surcharge	€ 450		€
Subtotal			€

		Total	€

N.B.

As soon as we have received your completed form, you will be registered as a participant of the SPAR International Congress 2012, after which you will receive the invoice and further information on the Congress.

Please note that after registration you will be responsible for any cancellation charges applicable. Please click here to read the cancellation charges.