Summit Registration Form

Full Name*

First NameLast Name

Company Name*

Please submit name of your company or private if you do not represent any business

Industry*

Province*

Town/City *

E-mail*

example@example.com

Phone Number*

Format: (000) 000-0000.

First time to attending an investment conference?*

YesNo

You're attending the event as*

I will attend:*

Main Event: 13 October 2023Exhibition: 13 - 14 October 2023Golf Day Tournament: 14 October 2023Main Event & Exhibition: 13 - 14 October 2023

Registration Fees*

Summit/Conference Delegate Fee

Accreditation to attend Lephalale Investment Summit

625.00ZAR # of Participants

Golf Day Registration Fee

Participate, Network and Socialize at Lephalale Golf Classic Tournament

1,704.00ZAR Quantity

Exhibition Registration Fee

Exhibition Stand to showcase your company's products and services.

4,950.00ZAR Quantity

VIP Registration

VIP all access accreditation to Summit, Exhibition and Golf Day

2,329.00ZAR Quantity

Total

0.00ZAR

How did you hear about the event?*