Acino

Mid-Year Meeting Attendance

Will you be attending the Mid-Year Meeting at the @Sandton Hotel in Sandton?

Yes No

Please confirm which day(s) you will be attending

   Full Duration Monday 2nd - Wednesday 4th June
   Monday 2nd June
   Tuesday 3rd June
   Wednesday 4th June
   Other

Personal Information

Title

First Names
As per passport

Surname
As per passsport

Preferred Name
For badges etc

ID or Passport Number

Cell Number

Email Address

Travel Information

Region

Do you require a flight?

Yes No

Accommodation has been arranged for all staff for Tuesday evening, and for the entire duration of the event for Coastal staff.

Who would you like to share with?

Kindly advise your preferred sharing colleague for accommodation.
Please ensure that you and your colleague are aligned before completing the RSVP.

First Choice:

Second Choice:

Medical & Dietary Information

Do you have any Medical Conditions
i.e. Asthma, Allergies, Disabilities etc.

Dietary Requirements

Additional Information and Comments

Additional Comments