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INITIAL REGISTRATION FORM
 
Title:
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 and 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.