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SAEEC2010: 10-11 NOVEMBER 2010, EMPERORS PALACE, CONVENTION CENTRE.

Delegate Online Registration Please complete this online registration form. All mandatory fields are marked with a *. Title * Mr. Mrs. Miss. Dr. Prof. Other   First Name(s) *   Surname *   Designation *   Student / Institution No Yes Company / Organization *   Postal Address *   Postal City *   Postal Code *   Physical Address *   Physical City *   Physical Code *   Company VAT No *   Phone Number   Mobile No *   Fax No *   Website Address E-Mail Address * E-Mail Address (Confirm) Registration * Full Registration Fee Student Registration Fee Discount Group Booking (five or more delegates) SAEE Members Registration Type * Certified Energy Manager (CEM) Certified Measurement and Verification Professional (CMVP) SAEE Member SAEE Board Member SAEEC2010 Exhibitor SAEEC2010 Sponsor Annual Awards and Banquet Will you be attending the SAEE Annual Awards and Banquet? Yes No Will you bring by a partner to the SAEE Annual Awards and Banquet? Yes No Partner First Name * Partner Surname * (Please note that the cost for your partner to attend the Banquet is R350.00. An invoice will be generated upon receipt of your registration) I have read and accept the Terms and Conditions.       Human Verification Image * Please enter the numbers and/or letters from the image above.

Terms and Conditions Registration fees above include entrance to sessions, registration pack, proceedings on CD, daily lunch and refreshment breaks. The organizers reserve the right to refuse admission where evidence of payment can not be show. If you have not received confirmation of your booking before the event, please contact us to make sure that we have registered your booking. With variable postal conditions, your registration might have been held up on its way back to us, or your confirmation details might have been delayed in a similar manner. In case you are unable to attend the event, a substitute delegate may be sent in your place. Please inform us of the substitution as soon as possible; To cancel a booking, you must notify this office in writing within 10 working days prior the event date. A 10% cancellation fee will be charged. If notification is not received by this office 10 working days prior to the event, you will be liable for the full amount.