Mandela day registration form

Is your organisation’s participation at this event:

Contact Info *

Title

Name *

First

Last

Email *

Thank you for taking part to register your organisation for the Mandela Day 2023 Clean-up, and the launch of the Clean-up and Recycle Week SA. Please take a few minutes to provide us with all your information to assist us in making your participation at this event as memorable and meaningful as possible. We look forward to your organisation and your participants joining us to CURB THE INTERSECTION BETWEEN FOOD SECURITY AND CLIMATE CHANGE in our beautiful inner city of Johannesburg.

Company Information *

Billing name if different *

Street address *

Postal Address *

VAT Number

1- Senior Representative *

First

Last

Title *

Title

Email *

2- Senior Representative *

First

Last

Title *

Title

Email *

Organization social media handles *

Office Number

Mobile Number *

Contact person on day if different to main contact *

Mobile number for contact on the day *

How many participants will be participating on your block (maximum 25 permitted)? *

Each Block will be allocated for a maximum of 25 participants. In order for the event organisers us to provide the necessary material and event packs, please indicate below how many people are anticipated to attend, and how many blocks you would like to have allocated. The fee levied per block is R29,950.

Are you Exhibiting? *

If Yes, do you require exhibition space with an electrical plug *

Each exhibition space is levied at R5 000 for non-electrical plug point and R5 ,200 with an electrical plug. Dimensions of the exhibition space will be sent to you after your registration is completed.