| Details of person responsible for booking and paying for this event |
|
Name
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| |
Annette Truter
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Email
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| |
drico.t.89@gmail.com
|
|
Mobile Number
|
| |
+27720925423
|
|
Address
|
| |
582 Wonderboom Street
Pretoria North
Pretoria, Gauteng 0116
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
|
| |
Annette Truter
|
|
Email
|
| |
drico.t.89@gmail.com
|
|
Mobile Number
|
| |
0720925423
|
|
Age
|
| |
76
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-a4e2b
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Day Visitor @ R 120 per day (Meals can be purchased as optional)
|
1 |
R0.00 |
R0.00 |
Days
- Select the Days that you want to attend: Saturday – R 120 per person, per day
- Select the Days that you want to attend: Sunday – R 120 per person, per day
|
1 |
R240.00 |
R240.00 |
|
Meals
|
1 |
R120.00 |
R120.00 |
| |
Sub Total |
R360.00
|
| |
Total |
R360.00 |
|
|
|
Name
|
| |
André Truter
|
|
Email
|
| |
drico.t.89@gmail.com
|
|
Mobile Number
|
| |
0848417896
|
|
Age
|
| |
70
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-c097f
|
|
Send Notification
|
| |
1
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Day Visitor @ R 120 per day (Meals can be purchased as optional)
|
1 |
R0.00 |
R0.00 |
Days
- Select the Days that you want to attend: Saturday – R 120 per person, per day
- Select the Days that you want to attend: Sunday – R 120 per person, per day
|
1 |
R240.00 |
R240.00 |
|
Meals
|
1 |
R120.00 |
R120.00 |
| |
Sub Total |
R360.00
|
| |
Total |
R360.00 |
|
|
|
|
Booking Reference
|
| |
B-FC-PTA2025-5c5b3
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R720.00 |
R720.00 |
| |
Sub Total |
R720.00
|
| |
Total |
R720.00 |
|