Coach workshop registration

"Survival, strategy, and sustainability: South African NPOs in 2012". View, or download, a copy of the workshop brochure here http://bit.ly/JLOksv.

Important. Please complete the first six asterisked fields. Other fields help us understand your needs better. Click on "Register" at bottom of form.

Workshop overview

About the workshop
A practical three-day workshop featuring four keynote speakers & twelve or so expert facilitators.

Fee
The workshop fee is R3 495.00 per delegate.
Second, or subsequent, delegates from the same organisation pay R3150.00.
The early-bird fee of R2 950.00 applies if you book by 25 May 2012 and pay by 1 June 2012.
If you book on the 26th of May or thereafter the workshop fee is R3 495.00.
Latest payment date is 22 June 2012.

Date
Tuesday 3rd July 2012 to Thursday 5th July 2012

Address where workshop takes place
Bishop Bavin School, St Georges Road, Bedfordview, Gauteng

Coach contact details
Call: 011 616 4015/6/7 (Sandhira or Limke); Fax: 086 667 4568; Email: sandhira@coach.org.za

Coach bank account details
Deposit or EFT: Standard Bank, Smal Street branch (001805)in the name Coach, account number 001314149. Please use surname plus a random three digit number as reference. Payments must be received at the latest by 22 June 2012. Please fax or email proof of payment.

My name

First
Last

My name as I want it on my delegate badge

My email address

My cellphone number

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Name of my organisation

My dietary requirements
Please indicate any special diet requirements here

If I have any other special needs or requirements I have recorded them here
e.g. If you are challenged by stairs, etc please let us know here

I believe I qualify for the early-bird workshop fee of R2 950.00 (incl. VAT)

I am a second or subsequent booking from my organisation

When I pay the fee by eft or direct deposit I am going to use the following reference made up of my surname and a random three digit number e.g. constantinople257

My job title

My organisation's NPO number if it has one

My organisation's PBO number if it has one

My organisation's website address (if applicable)

Topic(s) I would particularly like to discuss at the workshop
Tell us here of a topic you particularly want to discuss even if it's already on the programmepi

Please describe your field of expertise - and don't be too modest!

I am potentially interested in hosting or "anchoring" a small-group, round-table, discussi during World Cafe sessions