Email: ahmed@bricsaconsulting.com Pre-event details DELEGATE DETAILS After receiving the payments a receipt will be issued. You will receive Name: the Conference Pack 4 weeks prior to the event mentioning itinerary Job Title: & joining details. Should you need any further information please Contact us on +91 22 4880 3400 Email: Tel: Mob: Registration & Enquiries Contact Sales at Bricsa Consulting Name: Tel: +91 22 4880 3400 Date: 20th & 21st April, 2020 Job Title: Venue: Golden Tulip Addis Ababa, Ethiopia Email: To become a Speaker contact: Tel: Mob: Khadja Ali khadija@bricsaconsulting.com Name: +91 22 4880 3400 Job Title: Venue Details Email: Golden Tulip Addis Ababa, Tel: Mob: Cameroon Street Addis Ababa, Ethiopia COMPANY DETAILS Tel: +251 11 618 3333 Name: Marketing choices Address: (These will be applied to all delegate contact details supplied on this form) Please tick if you don’t want marketing from our group by telephone fax companies outside our group (including sponsors). Tel: City: Standard and Early Bird Registration Fees Includes: Full access to the two-day event. Conference materials, networking Country: Postcode: luncheons and refreshment breaks.
Nature of Business: Cancellations: Cancellations that reach us by fax or email at least
30 days prior to the start of the event will receive a full refund. For cancellations up to 14 days prior to the start of the event a cancella AUTHORISATION tion fee of 50% of the delegate rate will apply. Thereafter no refund is payable. Delegate substitutes are welcome at any time. Name: Indemnity:The signatory confirms that the above mentioned Position: delegate's participation in the event and the related activities is Tel: Signature: entirely voluntary and the signatory accepts all risks involved therein. Accordingly, Bricsa Consulting Pvt. Ltd and/or any of their Date: respective employees or partners shall not be liable for any loss, damage, injury, illness or expense of whatsoever nature (including I/we hereby confirm to the above and authorise our participants. airfare, hotel accommodation or other costs) and howsoever caused * This booking is invalid without signature. directly or indirectly, for attending the Event and/or participating in the activities and Bricsa Consulting Pvt. Ltd and/or any of their CONFERENCE PARTICIPATION FEES respective employees shall not be liable for any loss and/or damage (including indirect or consequential loss and/or damage) arising 2 days conference @ USD 1495 per delegate there from, and the authorised signatory hereby indemnify Bricsa Consulting Pvt. Ltd and their respective employees from any loss, Group Discount- damage or injury that would otherwise incur arising from or Bring 3 or more delegates and get 10% saving off the incidental to the participation in the Event. regular price Payment Terms: 100% payment within 5 working days from the All options inclusive of course papers, luncheon and refreshments. date of invoice or one day prior to Conference whichever is earlier. *If applicable
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