AFRILEX 2025 Registration

Title

E-mail*

Full Name*

First NameLast Name

Postal Address*

Phone Number*

Format: (000) 000-0000.

Affiliation*

Do you require any accommodations, e.g. wheelchair access, allergies, etc.?

Conference onlyWorkshop onlyConference and Workshop

Present and attendJust attend

YesNo

Conference Fees: Please tick all the relevant boxes. The cocktail and dinner for delegates are included in the conference fee. Guests can attend at an additional fee. The excursion is not included in the conference fee for delegates and guests.*

Conference Registration Fee

Afrilex Members

3,900.00ZAR

Conference Registration (non-members)

Conference registration fee for non- Afrilex members

4,300.00ZAR

AFRILEX Membership

Personal

200.00ZAR

AFRILEX Membership

Corporate

800.00ZAR

Please indicate the number of guests that will attend the cocktail with you.

The cocktail is included for delegates. This is just for partners or guests. (Leave unchecked if no guests will attend.)

300.00ZAR Quantity

Please indicate the number of guests that will attend the dinner with you.

The dinner is included for delegates. This is just for partners or guests. (Leave unchecked if no guests will attend.)

500.00ZAR Quantity

Total

0.00ZAR

AFRILEX 2025 Registration Form