Enter Personal Details
Given Name
*
Last/Family Name
*
Designation
*
If you make a booking on Conference Bay this information will be shared with the conference organiser.
Company
*
Building/Block/House Number
*
Please enter Building/Block/House number.
Street Name
*
Please enter street name.
Unit Number
Please enter unit number.
Building Name
Please enter building name.
Postal Code
*
Please enter postal code.
Phone Number
*
*
We ask for your number in case we need to speak with you urgently regarding a booking. We will always try to contact you via e-mail first and we will NEVER sell this information to anyone.
Mobile Number
*
We ask for your number in case we need to speak with you urgently regarding a booking. We will always try to contact you via e-mail first and we will NEVER sell this information to anyone.
Fax
Please enter fax number.
Email
*
This will also be your user ID on Conference Bay.
Confirm Email
*
As this will be your user ID, We want to make sure it is correct.
Password
*
Enter a password of at least 6 characters.
Confirm Password
*
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