Application to Sponsor or Exhibit at the 2014 ACFE Conference Please complete and return to Susan Swart by fax at (+ 27 12) 3461927 or e-mail: susan@acfesa.co.za Name of Company (as it should appear in conference brochure and other marketing) Remember to supply your company logo and profile as soon as possible together with your payment in order to be listed on the marketing brochure. Billing Information - Please indicate party responsible for payment (Full details as it should appear on the invoice) Company/ Organization Department/ Cost Centre: Company VAT no: Postal Address: Contact person for accounts: Tel: E-mail Billing Address: Contact person for booking and other arrangements: Tel: E-mail Billing Address: We require a Quotation Proforma Invoice Tax Invoice The ACFE will issue a Tax invoice for payment with bank details and a deposit reference, after the registration application has been processed. If you don’t get confirmation of your booking contact us on 012 346 1913. Please do take notice of the Terms and Conditions as outlined in the Brochure Authorized by: Position: Indicate quantity in appropriate box Category 1: Conference Sponsors Category Price Platinum Sponsor R 125 000 Gold Sponsor R 100 000 Silver Sponsor R 75 000 Bronze Sponsor R 50 000 Category 3: Exhibition Category Price Standard Exhibitor (Member) R 8 000 Standard Exhibitor (Non Member) Economy Exhibitor Additional staff to man booth Complete registration form Table R 10 000 Chair Table Cloth R 50.00 R 50.00 Date: Signature: Category 2: Special Events Quantity Category Welcome Reception Award Dinner Name Sponsor: (with banner) Award Dinner Name Sponsor: Award Dinner Table Sponsor Quantity R 6 000 R 1000 per person R 80.00 Please indicate which booth you would like: (Choice 1) (Choice 2) Price R 100 000 R 20 000 Quantity R 15 000 10 000 Category 4: Other Opportunities Category Price Conference Bags R 50 000 limited to 1 applicant Lanyards limited to 1 applicant Conference Bag Insert R 3000 Prizes, Gift Vouchers for provide lucky draws details Business Card Draw provide details Additional Discounted R 6500 per Conferences passes person Complete registration form Quantity SOLD (Choice 3) Details of Prizes, Lucky Draws or Business Card Draw: Terms and Conditions Sponsors may select more than one of the above sponsorship opportunities. No cancellation can be accepted – the company will remain responsible for full payment on submission of this form. All benefits and booth allocations are available only after payment is received and on a first come, first served basis. Attention non-members! Sign up now for membership and pay discounted rates Disclaimer notice: The ACFE reserve the right to make such changes to the floor plan, program and speakers as may be necessary due to circumstances beyond their control or to cancel the event if minimum number of bookings is not received. EXHI BI TION D ELEGATES AND BOOTH STAFF REGI STR ATI ON Registration of exhibition staff members – 20 September Registration of Conference delegates – 1 September Please fax the completed exhibition staff registration application forms to Susan Swart at Fax: + 27 12 3461927 or per email: susan@acfesa.co.za No access to the conference sessions Please Note the following: refer to the conference brochure to ascertain the number of free booth staff members you are entitled to. Additional passes may be purchased at R 1000 per person for the duration. This includes access and meals. Do note that if you prefer to have staff rotate, we will only issue one generic booth badge. A Exhibitor Booth Staff Meals are buffet style and include a wide variety. We regret that a surcharge of R 250 per day is charged for specially ordered meals. Please indicate if this is required and you are willing to pay the surcharge Information below should be provided as it should appear on the name badge Should you wish to register more than 5 staff members, please complete two forms, or attach another page (1) Preferred Name: Company/ Organisation: _______________________ E-mail: Dietary Needs: Cell: Company/ Organisation: _______________________ □ Halaal □ Kosher (4) Preferred Name: Company/ Organisation: _______________________ Surname: Position: (Job title)_______________ _________ Cell: Surname: Position: (Job title)_______________ _________ Cell: □ Halaal □ Kosher (5) Preferred Name: Company/ Organisation: _______________________ E-mail: Dietary Needs: Position: (Job title)_______________ _________ Cell: Company/ Organisation: _______________________ E-mail: Dietary Needs: Surname: □ Halaal □ Kosher (3) Preferred Name: E-mail: Dietary Needs: Position: (Job title)________________________ □ Halaal □ Kosher (2) Preferred Name: E-mail: Dietary Needs: Surname: Surname: Position: (Job title)_______________ _________ Cell: □ Halaal □ Kosher B. Discounted Conference Passes for Sponsors and Exhibitors Sponsors receive a number of free conference passes, and both Sponsors and Exhibitors may purchase additional conference passes at the discounted rate of R 6500.00 per person. Do note that no further discount, e.g the 10% discount on group bookings, is applicable. Please complete the standard conference delegate registration form and indicate that this is a special registration by ticking either of the following boxes: Part of an Exhibitor Discounted Booking (this is the additional discounted passes) Exhibitor Pass (this is the free pass included in your sponsor benefit)