HedgeNews Africa Symposium 23 February 2012, Vineyard Hotel, Cape Town BOOKING FORM Please complete this form and email it to events@hedgenewsafrica.com, or fax it to (+27) 86 549 6914. PLEASE COMPLETE IN BLOCK CAPITALS *required Name* Surname* Company* Address* Country* Postcode* Tel* Fax Email* Cancellation policy: Please note that we do not take cancellations. Transfers may be requested. HedgeNews Africa reserves the right to refuse transfers. All information provided will be safeguarded by African Financial Media, and will not be passed on to any external organisations. For sponsorship and exhibiting enquiries contact African Financial Media, publishers of HedgeNews Africa. Tel: +27 (0) 43 748 6476 Fax: +27 (0) 86 549 6914 Email: events@hedgenewsafrica.com BOOKING RATES* please mark appropriate box with an ‘x’ Standard booking rate US$1,150 / R8,000 25% discount for named HedgeNews Africa subscriber US$860 / R6,000 15% discount for hedge fund managers / investors US$980 / R6,800 If you are a not-for-profit hedge fund investor or pension fund trustee, you may be eligible for a discount. Please contact Andre Louw on events@hedgenewsafrica.com. ________________________________________________________ PAYMENT DETAILS I would like to pay in: South African Rand (R) US Dollars ($) I would like to pay by: Electronic Transfer Credit card VAT number: __________________________