DimTec

REGISTRATION FORM

Enter your surname
Enter your title and initials
Enter your first name/s
Enter your institution
Enter your postal address
Please enter the postal code
Enter your country
Enter your telephone number
Enter your fax number
Enter your email address
Dietary Needs * mark with 'X'
Select choice
I will attend as
Select choices
Gala dinner

PERSON RESPONSIBLE FOR PAYMENT OF INVOICE

Enter name
Enter surname
Enter address
Enter the total amount payable

BANKING DETAILS

UFS Sundry Debtors  |  ABSA branch code 632005  |  Account Number 4078171445  |  SWIFT Code: ABSAZAJJ 

Please send proof of payment together with registration form to: 
G van Coppenhagen 
Email: vcoppenhag@ufs.ac.za

We use cookies to make interactions with our websites and services easy and meaningful, to better understand how they are used and to tailor advertising. You can read more and make your cookie choices here. By continuing to use this site you are giving us your consent to do this.

Accept