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Queries
X-Change Team
+27 76 377 3150
[email protected]
PARTNER REGISTRATION
Only use this page to register a partner if you have already been registered as a Delegate.
Partner Registration: R11 000 + 15% VAT
Thank you for your interest in registering for X-Change. Please note that a compliance screening needs to be completed prior to confirmation of your registration.
Delegate Personal Information
First name as per ID
*
Surname as per ID
*
Email address
*
Mobile number
*
Partner Personal Information
Title (Mr, Mrs, Ms, etc.)
First name as per ID
*
Surname as per ID
*
Mobile number
*
Email address
*
Gender
*
== Please select ==
Male
Female
Do you have any allergies or disabilities?
*
== Please select ==
Yes
No
Do you have any dietary requirements?
*
== Please select ==
Yes
No
Emergency contact person
*
Emergency contact number
*
Would you like a double or twin bedded room?
*
== Please select ==
Double
Twin (2 separate beds)
Billing Address
*
VAT Number
Cost summary
Partner attendance fee
Total cost excl. VAT - R11 000.00
Terms and Conditions
Do you accept the
terms and conditions
that are a condition of registration?
*
== Please select ==
Yes
No
Do you consent to the processing of your personal information in accordance with the
POPIA T&Cs
,
PAIA Manual and Privacy Policy
and agree to abide by the X-Change event
Code of Conduct
(Photography & Videography and Gifting & Attendance). If consent is given to process your information, it can be withdrawn at any time by contacting
[email protected]
.
*
== Please select ==
Yes
No