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<Total�M��Total�%O���O����=Warning Text�?��Warning Text���%�X��TableStyleMedium9PivotStyleLight16`�)HReg Form�������g��}?;Fees per delegate:DetailsPayment Details
Contact Name:Enclosed Cheque for a total of:R	Position:Please Invoice my CompanyPurchase Order Number:Address:For Attention of:$Current Account - Number: 4069477929
Telephone:Fax:Email:Special Dietary Requirements:Number of Delegates:Names of Delegates:1.2.3.4.y1. Registrations are accepted on a first-come first-served basis.  Early registration is encouraged as seats are limited.&Direct Deposit made to Bank Account:  6(We will endeavour to make the necessary arrangements):"Association of Construction Health and Safety Management"Delegate Registration Form:Please fax or email a copy of the deposit slip to  ACHASM:Terms and Conditions�4. Payment is required to be made within 7 days from date of invoice.  Please reflect the invoice number on proof of payment (emailed or faxed)./5. ACHASM cancellation and postponement policy:�5.3 Participants must make sure they receive an acknowledgement of their cancellation from the ACHASM. Only this will confirm that their request has been received and processed.Authorised Signature:�5.6 In the event of strike disruption or other unforeseen circumstances beyond their control, ACHASM accepts no responsibility for loss of monies incurred by delegates.^d�2. The "Association of Construction Health and Safety Management" is a Section 21 Company (not for gain) and is not a registered VAT vendor.H3. Travel and accommodation expenses are for the delegate's own account.�5.5 ACHASM will not accept liability for damages of any nature sustained by delegates or loss of or damage to their personal property as a result of the Symposium.
ACHASM SymposiumoPlease note that this Symposium registration is invalid without an authorised signature and valid order number:
Order number:Authorised  Name:Authorised Designation:        "__________________________________!_________________________________#___________________________________d5.4 ACHASM reserves the right to amend any part of the Symposium programme if necessary at any time.
�5.2 Cancellations received 15 working days prior the  day of the Symposium will receive a refund of the registration fees less an administration charge of 10% of the Symposium fee. 23rd October 2014Email:  occumedpe@occumed.co.zaPhone:+27 41 373 2808i        Cancellations made after this date, as well as 'no shows', are liable for the full Symposium fee.
Firm Name:L2. Late booking                  16 October 2014 - 23 October 2014:        RT1. Standard Booking        Up to 15 October 2014:                                  R�5.1 Registration cancellations must be notified in writing by fax or email to the ACHASM Office 086 519 9734 or email: occumedpe@occumed.co.zaFax: +27 86 519 97341800,002000,00&ABSA Durbanville - Branch Code: 632005�B<�<�?=7%>�@}mCeKEC	LGDcc��B�����
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