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Company:
Company Representative:
Postal Address:
  
Postal Code:
Telephone:
Fax:
Email:
Conference date/s:
No of days:
No of Delegates:
Approx times, Arrival:
Departure:


Conference Seating:
U-Shape
Theatre
Schoolroom
Banquet
 
Conference Equipment:
Computer Training
Lecturn
Overhead
Secretarial Services
Television
VCR
White Board
Flip Chart
Computer Projector
Public Address
Data Projector
Translation
Video Conferencing
 
Breakaway Rooms:
 
Yes:
No of rooms:
No:
No of Delegates per room:
 
Accommodation Required:
Yes
No
No of Delegates:
No.:
No.:
Accommodation Date/s:
No of Nights:
Approx times, Arrival:
Departure:
 
Leisure activities requested
(as per list):
Action Cricket
Boat Cruises
Bowls
Eco Activities
Game Drives
Golf
Hiking
Massages
Scuba Diving
Sporting Field
Swimming
Tennis
Tribal Dances
Water Sports
Bird Watching
Boma
Casino
Fishing
Go-carting
Gym
Horse Riding
Sauna
Shooting
Squash
Team Building
Theme Evening
VolleyBall
 
Medical facilities requested
(as per list):
Baby Sitting
Medical Care
Wheel-Chair Friendly
Beauty Salon
Malaria Free
 
Travel facilities requested
(as per list):
Airport less than 1 hour
Heliport
Car Hire
Hotel Transport
 
Special Requests:
(gala dinner, team building, etc.)
Area, Province or City where Conference should be held:
Approximate budget guidelines, Total budget:
Per person per day: