INITIAL REGISTRATION FORM
Title:
Mr.
Mrs.
Ms.
Dr.
Prof.
Miss
First Name:
Surname
Organization
or Local Authority Name:
Department:
Position:
E-mail address:
Telephone number:
Fax number:
Cellphone or Mobile:
Country:
SECTOR (Please tick the following):
International Delegate (excl. Africa):
City from Africa:
NGOs / CBO's and Academics:
National, Provincial government and National bodies:
Local Authority:
Donor agencies:
Business:
Media:
Other
(please specify)
:
Please indicate if you will be attending the
African Energy Cities Network
Workshop:
This is a founding workshop to establish a network of cities interested in sustainable energy.
Date:
Saturday, 22 November 2003
I am interested:
I will not be attending:
If you have problems submitting the form:
Please download the registration form below ,
fill it in and email to
geraldo@africanequations.co.za
DOWNLOAD :
Registration Form CES Conference.doc (39kb)
Technical note:
To ensure download to disks, do this:
RIGHT click
a
nd choose
Save to disc
/
Save target as
...
CONTACT
Geraldo Rodrigues
African Equations
Tel: 021-461 5735
fax: 021-461 5775
geraldo@africanequations.co.za
COST
The conference fee is
R 900
(works out to R200 a day excluding
climate tax
).
This fee is subsidized and includes a climate tax.
Registration cut-off date:
30 September 2003
A non-refundable additional
late registration fee
of
R300.00
will be charged after the cut-off date of
30 September 2003
.
Substitutions will be accepted at an additional fee of R 300.00 per person.
