ILSI Accommodation Booking Form

IMPORTANT: Please click here if you're travelling to South Africa with your Child / Children

Section B - ACCOMMODATION Only.

To register, kindly complete one form per delegate.

DELEGATE INFORMATION

Title: Last Name:
First Name: Middle Name:
Nationality: Name for Badge:
This is my: Private Address
Institution Address
   
Institution Name: Department:
Institution VAT Number: Contact Person's Name:
Address: City:
State/Province: Post/ZIP Code:
Country:
Telephone:
(Country code/city code/number)
Fax:
(Country code/city code/number)
E-Mail: Mobile/Cell Number:
SAAFoST Member: Yes /No Membership No.:
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

Accompanying Persons

Please complete the information below for accompanying person(s).

1st Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

2nd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

3rd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

Section B - ACCOMMODATION

For full details of the hotels, please click on the hotel name below.

Please select the hotel of your choice from this list, and indicate your preference in the space provided.

* All rates are quoted in South African Rands (ZAR) and are subject to change. Rates include VAT at 14% and 1% Tourism Levy.

Cancellations must be submitted to Turners Conferences in writing. You may cancel your reservation up to 5 July 2015 with a full refund less an administration fee of ZAR228. No refunds will be made on cancellations received after 5 July 2015. An amendment fee of ZAR228 applies to all changes. Should you reduce the length of your stay upon arrival at the hotel, the hotel reserves the right to charge cancellation fees for the nights that you will no longer be using.

Rates are per room per night and include either a Continental or English breakfast.

1st Choice: 2nd Choice:
Arrive Date: Depart Date:
No. of Nights: Name of Person with whom
you are sharing the room:
In the event that my preferred hotel is not available, please book me in a category of accommodation which is:
Similar / Higher / Lower
Special Dietary Requests:
Vegetarian Meal, etc.
Special Hotel Requests:
e.g. Non Smoking Room, Physically Disabled etc.

A deposit equal to two night's accommodation is required with this application to confirm the reservation. Balance of accommodation must be paid directly to the hotel on arrival.

Single Room: 1 bed in room and 1 occupant | Double Room: 1 bed in room and 2 occupants | Twin room: 2 beds in room and 2 occupants

Hotel Name Room Type
Price
(including 1%
Tourism Levy &
14% VAT
 
Total
HOTELS
Southern Sun Elangeni & Maharani Complex Hotel
4 Star
North Beach - 1.2Km from ICC
Standard Room
Single Occupancy
1,665.00
Standard Twin Room
Double Occupancy
1,966.00
Standard Room
Double Occupancy
1,966.00
Garden Court Marine Parade
3 Star
New Beach - 1.6km from ICC
Standard Room
Single Occupancy
1,311.00
Standard Twin Room
Double Occupancy
1,562.00
Standard Room
Double Occupancy
1,562.00
TOTAL: B - Hotel Accommodation
TOTAL: B - Hotel Deposit

TOTAL AMOUNT PAYABLE

I, the undersigned, do hereby authorise Turners Conferences to debit my credit Card for the following amounts:
(please fax a copy of the front and back of your credit card to Turners Conferences)

B Accommodation (Deposit)
GRAND TOTAL:

PAYMENT DETAILS

Please select your payment option below.

Option 1
Bank Transfer
You must specify your name and SAAFoST 2015 on your bank transfer. Forward to:
Account Name:Turners Conferences and Conventions (Pty) Ltd - SAAFoST 2015
Bank:First National Bank
Account No.:62374322809
Branch:Durban Main Branch
Branch Code:221426
Swift No.:FIRNZAJJ762
(Please fax a copy of your transfer to Turners Conferences +27 31 368 6623)

Final date for Bank Transfer payments will be the 31 August 2015.

When processing your payment by bank draft please allow additional funds to cover bank charges. If short payments are received, they will be for your account.

Option 2
Credit Card
Please complete the following authorisation for Congress Organisers to debit your credit card.
A clear photocopy of both sides of the credit card is required for bank approval and verification

Credit Card Type:
Credit Card Number
Expiry Date
Cardholder's Name
3 Digit no. on reverse side where applicable

I agree that particulars provided in Section A can be passed on to Congress service providers and be published as part of the Congress Delegate List.

Yes /No

Please complete this registration and booking form and submit it to the Local Congress Organisers:

Turners Conferences and Conventions (Pty) Ltd
PO Box 1935, Durban, 4000 South Africa
Telephone: +27 31 368 8000
Fax: +27 31 368 6623
Email: gills@turnergroup.co.za

All transactions are conducted in terms of Turners Conferences standard conditions of trading. They are published on the Turners Conferences website & available on application.
Without the complete documents, we are unable to process your booking.

Your booking will only be confirmed once payment has been received.

Type this number into the box alongside: