(zac2017) registration form

ZIMBABWE ACCOUNTANTS CONFERENCE (ZAC2017) REGISTRATION FORM
(Each attendee must complete a separate registration form but multiple registrations may be paid in a single payment)
PERSONAL INFORMATION
Mr__ /Ms__ /Dr__ /Other__
(Name – please print clearly)
Organisation
Email address
Contact telephone & cell
number
Institute membership
IAC__ / ACCA__ /CIMA__ /ICAZ__ /ICSAZ__ /ICPAZ__
/SAAA__ / ICTAZ----Other (specify) ______
REGISTRATION FEES & PAYMENT DETAILS (all fees are inclusive of VAT)
Registration fee
* Early Bird Registration – Registration by 10 March 2017
US$275 (Two hundred and seventy five dollars Only)
*Normal Registration – Registration by 10 April 2017
US$300 (Three Hundred Dollars Only)
*Post 10 April 2017 Registration
US$350 (Three hundred and fifty dollars Only)
*Corporate Group Registrations- 5 delegates and above
US$250 (Two hundred and fifty dollars Only)
Payment mode (please tick mode
Transfer__/Cash__
Bank
Standard Chartered Bank
Branch
Avondale
Account number
8700208495000
of payment)
( Where payment is made by transfer, the proof of payment should accompany this form.)
Cancellation / Transfer

All cancellations must be submitted in writing via email to [email protected]

Any cancellation received on or before 14 April 2017 will result in a cancellation fee of 25% (of the workshop fee)

No refund will be made to any cancellations received after 14 April 2017 and thereafter.

No refund will be given for no show

If you are not able to attend, you can substitute an alternate delegate.
Disclaimer
The PAAB reserves the right to:

alter this program or facilitator(s) without further notice;

cancel the event due to insufficient numbers; and

Reject registration should the registrations exceed the seats available.
By completing this registration form, you are deemed to have read and accepted the terms and conditions
CONTACT DETAILS: Louisa Muzenda : [email protected] , Cleopatra Munjoma:
[email protected], Loreta Hlabangana: [email protected]+263 4 301063
ADDRESS: 72 Harare Drive, Northwood, Mt Pleasant, Harare