| Details of person responsible for booking and paying for this event |
|
Name
|
| |
Jan Meiring
|
|
Email
|
| |
pepima62@gmail.com
|
|
Mobile Number
|
| |
+27812706760
|
|
Address
|
| |
5 Doring Road
Wilro Park
Roodepoort, Gauteng 1724
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
|
| |
Jan Meiring
|
|
Email
|
| |
pepima62@gmail.com
|
|
Mobile Number
|
| |
+27812706760
|
|
Age
|
| |
50
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-05992
|
|
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
|
| |
Corlia Meiring
|
|
Email
|
| |
corlia@bosveld.za.net
|
|
Mobile Number
|
| |
+27829083411
|
|
Age
|
| |
48
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-6b876
|
|
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
|
| |
Pearl Meiring
|
|
Email
|
| |
pearlmeiring@gmail.com
|
|
Mobile Number
|
| |
+27645704629
|
|
Age
|
| |
19
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-e7102
|
|
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
|
| |
Piet Meiring
|
|
Email
|
| |
pietmeiring5@gmail.com
|
|
Mobile Number
|
| |
+27683804874
|
|
Age
|
| |
17
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-af805
|
|
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
|
| |
Mariana Meiring
|
|
Email
|
| |
marianameiring@gmail.com
|
|
Mobile Number
|
| |
+27723802196
|
|
Age
|
| |
15
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-b5250
|
|
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-PTA2025-5ab94
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R7,500.00 |
R7,500.00 |
| |
Sub Total |
R7,500.00
|
| |
Total |
R7,500.00 |
|
|