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					20th SYMPOSIUM of the
NEMATOLOGICAL SOCIETY of
SOUTHERN AFRICA
15 – 18 May 2011
STELLENBOSCH, SOUTH AFRICA
Website: www.sanematodes.com


                                      HOTEL BOOKING FORM
                              PLEASE COMPLETE AND RETURN BY 15 MARCH 2011
                                reventer@netactive.co.za or fax: + 27 21 8552722
      ACCOMMODATION                        Standard Single / night        Standard Double/Twin/room/night
                   @                                                           2 PEOPLE SHARING
               Spier Hotel
      (Full English breakfast incl)               R 1350                                 R 1590

GUEST 1
Surname:________________________________First Name:____________________________________

Title: _________________________Organisation:______________________________________________

Postal Address:________________________________________Tel No:_____________________________

E-Mail Address: _______________________________________Fax No:_____________________________

Sharing with:__________________________________________

Special Dietary needs: _________________________________ Disabilities: ________________________

DATE IN:__________________DATE OUT:________________________NO of NIGHTS:__________________

                     AMOUNT PAYABLE : R____________________
GUEST 2
Surname:________________________________First Name:____________________________________

Title: _________________________Organisation:______________________________________________

Postal Address:________________________________________Tel No:_____________________________

E-Mail Address: _______________________________________Fax No:_____________________________

Sharing with:_____________________________________________

Special Dietary needs: _________________________________ Disabilities: ________________________

DATE IN:__________________DATE OUT:________________________NO of NIGHTS:__________________

                       AMOUNT PAYABLE : R____________________


             FULL ACCOMMODATION CHARGE REQUIRED TO CONFIRM BOOKING
              PROOF OF PAYMENT TO BE RETURNED WITH THIS BOOKING FORM
                                  reventer@netactive.co.za or fax: + 27 21 8552722
         EFT / DIRECT DEPOSITS WITHIN RSA                              INTERNATIONAL TRANSFERS**
                                                            Bank commission on INTL transfer payable by delegate
       Account Name:     NSSA                       Account Name: NSSA
       Bank Name:        ABSA                       Bank Name: ABSA
       Account No:       4055303530                 Account No: 4055303530
       Branch code :     632005                     Branch code : 632005
       Reference:        NSSA/Delegate Name         Swift code: ABSAZAJJ
                                                    Reference: NSSA/Delegate Name

				
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