Conference 2012 Registration

    Personal Information


  1. Title(*)
    Please select title
  2. First Name(*)
    Please let us know your name.
  3. Surname(*)
    Surname required
  4. Job Designation(*)
    Please provide your job title
  5. Company Name(*)
    Please provide your company name
  6. Company VAT Number
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  7. Cell Number(*)
    Please provide your cell number
  8. Work Number(*)
    Please provide your work number
  9. Fax Number
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  10. Email Address(*)
    Please let us know your email address.
  11. Postal Address(*)
    Please provide your postal address
  12. Special Dietary Requirements
    Please indicate if you have any specific dietary requirements
  13. *meals ordered for special diets may incur surcharges as imposed by the venue and will be quoted separately
  14. Other Special Requirements (Incl. dietary, disabled access etc.)
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  15. Attending Gala Dinner 5 June 2012(*)
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    (No additional charge)

    16. APICS Certification


  16. CPIM(*)
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  17. CIRM(*)
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  18. CFPIM(*)
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  19. CSCP(*)
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    20. Special Billing Instructions - If applicable


  20. If different to the information above, please advise relevant billing details:
  21. Title
    Please select title
  22. First Name
    Please let us know your name.
  23. Surname
    Surname required
  24. Company Name (For Billing Purposes)
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  25. Postal address to which invoice should be sent:
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    26. Please register me as a delegate to the SAPICS 2012 Annual Conference


  26. Registration Fee
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  27. Membership Number
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  28. Companion
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  29. First Name
    Please let us know your name.
  30. Surname
    Surname required
  31. Special Dietary Requirements
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  32. Attending Gala Dinner 5 June 2012
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    (Incl. in registration fee)

    33. Payment Options


  33. Payment Options(*)
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  34. I accept the terms & conditions(*)
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  35. Image Verification
    Image Verification
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  37. FULL PAYMENT IS DUE ON APPLICATION FOR REGISTRATION; HOWEVER, A TAX INVOICE WILL BE ISSUED IMMEDIATELY UPON RECEIPT OF THE COMPLETED REGISTRATION FORM. REGISTRATION WILL BE CONFIRMED ONLY AFTER PAYMENT IS RECEIVED.
  38. In the event of cancellation, 50% of fees will be credited provided cancellation in writing is received prior to 4 May 2012. After that date, no credits or refunds will be made. You are however welcome to provide a substitute in your place. Please notify the Secretariat in writing of any such substitution. SUBMISSION OF A REGISTRATION FORM SHALL BE DEEMED TO BE ACCEPTANCE OF THE ORGANISERS’ TERMS AND CONDITIONS, AND SHALL BE JOINTLY AND SEVERALLY BINDING ON APPLICANT AND THE APPLICANT’S CORPORATE ENTITY. (NB: Please contact the Secretariat if you do not receive registration confirmation within 2 working days)