Education Provider (if Applicable)
Name of Institution
Program Offered
Address
Service Provider (if Applicable)
Name of Organisation
Type of Service
Participant(s) Details
Participant 2
Participant 1
Name
Name
Designation
Designation
Phone Number
Phone Number
Participation Access Level (Please refer to Participation Guide for details)
Participation Access Pass
Education Providers (USD)
Early Bird Prices (Closes 30 June 2018) Education Providers
Service Providers (USD)
Early Bird Prices (Closes 30 June 2018) Service Providers
Gold - All Access Pass
Silver - Botswana or Johannesburg Access Pass
Bronze - Botswana or Johannesburg Access Pass
Optional School Visit in Botswana Maun | Orapa
Optional School Visit in Botswana Franscistown | Palapye
Sponsorship Packages
Principal Sponsor
Authorization
Authorized by (Full Name)
Designation
Date
Signature
NB: Once we receive your registration form and confirmation of information provided, an invoice will be emailed to you.