Ethics Ambassador Workshop Registration

Name*

Title Name Surname

Organisation*

Designation*

Email*

Postal Address*

Address Line 1 Address Line 2 City Province Postal Code

Phone*

Cell Phone

ID Number*

Payment Details

Person responsible for payment

First Last

Accounts Email

Accounts Phone

VAT Number

Please indicate which of the following you are a member of:

TEI Membership Number*

ACFE Membership Number*

BEN-Africa Membership Number*

IIASA Membership Number*

ICFP Membership Number*

FPI Membership Number*

IRMSA Membership Number*

IoDSA Membership Number*

SABPP Membership Number*

SAICA Membership Number*

SAIPA Membership Number*

SIOPSA Membership Number*

CIGFARO Membership Number*

Membership Verification*

I accept that my membership details will be verified.

Dietary Requirements

Special Requirements/Disabilities

If you have an special requirements or disabilities that you feel we should be aware of, please give a brief explanation here.

Due to the nature of the course, only a limited number of delegates can be accommodated.
Bookings are only confirmed on receipt of a registration form, full payment, or a Purchase Order in the case of government departments.
Registrations close two weeks before a programme starts. All registrations not paid two weeks prior to the event will be cancelled to accommodate people from the waiting list.
Cancellations two weeks prior incur a 30% penalty. No refunds will be made on cancellations incurred one week prior to the programme. Applicants who have made payment may be substituted by another person at any time prior to the event without incurring an additional fee. The Ethics Institute must be notified of any changes in writing.
Late registrations will have a 24-hour window period to confirm their registration and payment.
All registrations not conforming to these terms and conditions will be cancelled at no cost to The Ethics Institute.
5% discount if three or more delegates from one organisation register. 10% discount if six or more delegates from one organisation register.

Acknowledgement*

I acknowledge that I am aware of the terms and conditions.

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