| Details of person responsible for booking and paying for this event |
|
Name
|
| |
Justin Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
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Mobile Number
|
| |
+27824515608
|
|
Address
|
| |
Redwing Farm
Redwing Farm
Redwing Farm, Machaddodorp Mpumalanga
South Africa
Map It
|
|
Online Indemnity Form
|
| |
 I/We agree to the terms and conditions set out in this indemnity form
|
| Details of Event Attendees |
|
Attendee List
|
| |
|
Name
|
| |
Justin Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
|
Mobile Number
|
| |
+27824515608
|
|
Age
|
| |
52
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-d127a
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
Name
|
| |
Diekie Bowers
|
|
Email
|
| |
diekie.bowers@me.com
|
|
Mobile Number
|
| |
+27829270567
|
|
Age
|
| |
46
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-e4090
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
Name
|
| |
Ruth Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
|
Mobile Number
|
| |
+27826466003
|
|
Age
|
| |
19
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-b8773
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
Name
|
| |
Sarah Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
|
Mobile Number
|
| |
+27636737188
|
|
Age
|
| |
18
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-f2615
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
Name
|
| |
Kathleen Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
|
Mobile Number
|
| |
+27788584378
|
|
Age
|
| |
18
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-c7057
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
Name
|
| |
Rebecca Bowers
|
|
Email
|
| |
justin@ecoleges.co.za
|
|
Mobile Number
|
| |
+27829270567
|
|
Age
|
| |
16
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-c0ef3
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
On-Site Conference Attendee (R1,500 per person – includes all sessions, meals, and accommodation)
|
1 |
R1,500.00 |
R1,500.00 |
| |
Sub Total |
R1,500.00
|
| |
Total |
R1,500.00 |
|
|
|
|
Is this a family or group booking? Would you like to stay in the same room?
|
| |
Yes
|
|
Booking Reference
|
| |
B-FC-PTA2025-7598a
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R9,000.00 |
R9,000.00 |
| |
Sub Total |
R9,000.00
|
| |
Total |
R9,000.00 |
|
|