Please complete all fields to ensure a complete quotation: (* Compulsary fields)
First name: *   Last name: *   Company name: *   Work Tel:   Cell: *   Fax: *   Email address: *   PAX (Amount of delegates including facilitators)*   Confirm email address: *   Conference type: *   -- Please Select -- Full day conference Half day conference incl. Lunch (max 4.5 hours) Half day conference excl. Lunch (max 4.5 hours) 24 Hour conference package Other Seating requirments:   -- Please Select -- U-shape Banquet style (round tables) School room Cinema style (no tables) None Start date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 End date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 Beverage requirments:   -- Please Select -- 1 non-alcoholic beverage during lunch 1 non-alcoholic beverage during lunch & dinner Open bar to be settled after conference Team Building required:   -- Please Select -- Yes No Equipment required: Dietary requirments: Flipchart & markers Data video projector White screen PA system White board PA system with roaming mic Notepads & pens PA system with lapel & roaming mic TV Additional microphone DVD player Additional flipchart None Halaal Vegetarian Kosher Other Number of break-away rooms required:   Accommodation required:   -- Please Select -- Yes No Number of rooms:   Room occupancy:   -- Please Select -- Single Twin rooms Check in date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 Check out date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 PCO name:   PCO company:   PCO tel:   PCO cell:   PCO e-mail:         Special Requirements:           How did you hear about us? * Please specify (please specify which website / magazine / newspaper etc) -- Please Select -- I attended an event at Thornbirds Website – Thornbirds Website – Other Google search Magazine Newspaper Expo Pamphlet Brochure Referral By word of mouth Facebook PCO Other             Please retype the code in field below: