Registration Form - Midlands State University

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MSU-UNIVEN CONFERENCE
14-16 October 2015
Venue: Midlands
State University, Gweru, Zimbabwe
REGISTRATION FORM
Please complete and return to
Dr Z. Tambudzai : Address: P. Bag 9055, Gweru, Zimbabwe
Tel: +263 54 227 411; Cell. 00263716800126/ 00263778641461
E-mail: commerceconference@msu.ac.zw or commerceconference@staff.msu.ac.zw
PARTICIPATING DELEGATE:
Title :
Prof ___
Dr ___
Mr ___
Surname ………………………………..……
Mrs ___
Ms ___
Other ……………..………………………………….
First name ………………………..…..…………..…(name to appear on badge)
Organisation/Company/Institution…………………………………………
Department..………………………………………………E-mail………………………………………………………..…………...
Full Postal Address……………………………………………………………………………………………………………….……
City …………………………………………… Postal code/Zip code ………………Country ………………….…..……………
Telephone Code (……) No ………………………………… Fax Code (…….) No...………………..………………………….
Please tick  relevant option/s
Delegate
Registration Fee

Postgraduate Students

10 % discount for registration
before 2 October 2015

US$ 90.00

Local Delegates

10 % discount for registration
before 2 October 2015

US$ 200.00

International Delegates

10 % discount for registration
before 2 October 2015

US$ 300.00

Exhibition Fee


Excursion Fee (optionaldetails on the website)




SMEs
US$ 60
Corporates US$ 100
$65
The Banking details are as follows:
Name:
Midlands State University; Account Number: 01820772520046
Branch: Gweru
SWIFT Code: COBZZWHAXXXCOBZZWHA****
Sort Code: 6508
Registration must be cancelled in writing. Cancellations made within thirty (30) days of the commencement date will be subject to a 50%
retention fee, thereafter no refunds will be considered and you will be liable for the registration fee.
Should you have any other dietary requirements, please arrange directly with the conference organising secretariat.
We regret no credit cards. Please quote Name of delegate when payment is made. Please scan and email proof of payment to
tambudzaiz@msu.ac.zw. Admittance to conference will be restricted to delegates who have paid in full. The organisers reserve the right to
refuse admission where evidence of payment cannot be shown.
……………………………………………………….
SIGNATURE
…………………………………………..
DATE
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