| Details of person responsible for booking and paying for this event |
|
Name
|
| |
Janelle Olivier
|
|
Email
|
| |
foxelle.olivier@gmail.com
|
|
Mobile Number
|
| |
+27848123293
|
|
Address
|
| |
6 Bresler street
Frankfort
Frankfort, Free State 9830
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
|
| |
Janet Marais
|
|
Email
|
| |
Janetleemarais@gmail.com
|
|
Mobile Number
|
| |
+27 73 236 3555
|
|
Age
|
| |
63
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-41a88
|
|
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
|
| |
Drikus Marais
|
|
Email
|
| |
drikus.marais1@gmail.com
|
|
Mobile Number
|
| |
+27 65 861 2971
|
|
Age
|
| |
59
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-194b4
|
|
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
|
| |
Thinus Olivier
|
|
Email
|
| |
foxelle.olivier@gmail.com
|
|
Mobile Number
|
| |
+27610621303
|
|
Age
|
| |
24
|
|
Gender
|
| |
Male
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-ddc53
|
|
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
|
| |
Janelle Olivier
|
|
Email
|
| |
foxelle.olivier@gmail.com
|
|
Mobile Number
|
| |
+27848123293
|
|
Age
|
| |
24
|
|
Gender
|
| |
Female
|
| Section Break |
|
Attendee Reference
|
| |
A-FC-PTA2025-926d4
|
|
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-PTA2025-8bca7
|
|
Order
|
| |
| Product |
Qty |
Unit Price |
Price |
|
Total Booking Price
|
1 |
R6,000.00 |
R6,000.00 |
| |
Sub Total |
R6,000.00
|
| |
Total |
R6,000.00 |
|
|