13th National Conference Online Registration Form

Welcome to the 13th National Conference Online Individual Registration

Complete for each Individual delegate registration. Items marked* are mandatory
Select Title*
First NameMiddle NameLast Name
MaleFemale
Are you are a ZIPS Member?*
Membership Category?*
Membership No.
(If yes indicate your membership number. If not then non-member rates will apply. Check below)
Select Tshirt Size (South African Type)
(South African Type)
Employment Status*
Private Personal E-mail*
Mobile Number*

Country CodeNumber

Conference Participation Fees

All Conference packages include Teas, Refreshments, Lunch, Delegate Pack & Conference Materials
Have you already paid for the conference?*
When did you Pay?*

MonthDayYear
Date
Please enter ZIPS Receipt number*
When are you paying?*

MonthDayYear
Date
Member- K7 000Non - Member-K 7,500Student -K3500AGM Only (Free to Paid up members only)
5Nights - K14,250
K1,500 Sunset Boat CruseK1,700 Gala Dinner
What drinks will be taking *
How did you first know about the Conference *
How you knew about the conference *
Should be Empty:

Welcome to the 13th National Conference Online Individual Registration