Registration Form allFresh 2005

No registration without payment. Complete form for every delegate attending and fax with proof of payment to 012 803 1840

Please Note: The Registration form can either be completed on-line or downloaded in Afrikaans and/or English, for credit card payment
options, download the Registration form and fax to: 012 803 1840.

Online Registration

Particulars of delegate
Are you a member? (please tick appropriate boxes): Fruit SA FPEF DFPT Subtrop CGA SA Veg

Surname: Title: First name:

Company: Company VAT number: Postal address:

Postal address:



Phone: Fax: Cell: Email:

Registration Fee Information (please tick appropriate boxes)

Both days @ R1425(incl of VAT) Day 1 @ R1197(incl of VAT) Day 2 @ R1197(incl of VAT) Non-delegates attending allFresh goes Moyo@ R250.00 per person (incl of vat)
Yes: No: Yes: No: Yes: No: No. of persons:
Sub total: Sub total: Sub total: Sub total:
TOTAL:      



Cancellation policy: Full refund, minus R200.00 admin fee, will be issued for written cancellation requests received by 31 August 2005. Cancellations received after 31 August will not be refunded. Replacement delegates may be sent.

Cheques
Postal address
Tiro Events t/a AllFresh
PO Box 5050
Tzaneen
0850		 Direct Deposits
Banking details
Tiro Events t/a AllFresh
ABSA Tzaneen
Branch code: 334-349
Cheque account number: 405 480 1600

Please use your name as reference on the deposit slip and fax with proof of payment to 012 803 1840

ACCOMMODATION, TRAVEL AND SPOUSE TOURS: Visit our website at www.allfresh.co.za or contact

Agricultural Tours Worldwide

Tel: 012 803 4358/65
Fax: 012 803 1840
Email: hfa@mweb.co.za

Conference organizers

Carien Landman: 083 630 3607 carienl@tiscali.co.za
Marianne van der Laarse: 082 388 1000 marianne@qcfresh.com