Non Member Registration form
ICDA Networking event and dinner Cape Town, South Africa 3 February 2025
How to register?
Please fill the following form to register for the ICDA Networking event and dinner taking place in Cape Town on 3 February 2025. You can register up to 4 delegates, for more than 4 delegates and if you need any assistance please contact our team at admin-events@icdacr.com
REGISTRATION - Non ICDA Member
1 delegate
*
First Name
Last Name
Email
*
example@example.com
Job title
*
Company
*
Country
*
Photo
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delegate's photo
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of
I agree that my contact details may be included in the list of participants
Yes
No
2nd delegate
First Name
Last Name
Email
example@example.com
Job title
Company
Country
Photo
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delegate's photo
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of
I agree that my contact details may be included in the list of participants
Yes
No
3rd delegate
First Name
Last Name
Email
example@example.com
Job title
Company
Country
Photo
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Choose a file
delegate's photo
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of
I agree that my contact details may be included in the list of participants
Yes
No
4th delegate
First Name
Last Name
Email
example@example.com
Job title
Company
Country
Photo
Browse Files
Drag and drop files here
Choose a file
delegate's photo
Cancel
of
I agree that my contact details may be included in the list of participants
Yes
No
Invoicing address
*
Company name
Street address
City
State / Province
Postal / Zip Code
Country for invoicing address
*
VAT number
*
Email for invoicing
*
example@example.com
Please select the corresponding payment plan
*
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1 delegate - Non ICDA Member
Fees for one person registering for the ICDA networking event and dinner in Cape Town
€
300.00
2 delegates - Non ICDA Member
Fees for two persons registering for the ICDA networking event and dinner in Cape Town
€
600.00
3 delegates - Non ICDA Member
Fees for three persons registering for the ICDA networking event and dinner in Cape Town
€
900.00
4 delegates - Non ICDA Member
Fees for four persons registering for the ICDA networking event and dinner in Cape Town
€
1,200.00
Information on the credit card
Prénom
Nom de famille
Numéro de carte bancaire
Code de sécurité
Expiration de la carte
By submitting your payment you fully agree with
the ICDA's terms and conditions applicable.
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