Presidents Inaugural Lunch 2022 – IIKZN – The Insurance Institute of KwaZulu-Natal

* This event is restricted to IIKZN members and special invited guests only. Please take note: Guests are limited to 110. Bookings close on 4th March 2022. Due to COVID-19 restrictions, table numbers are restricted to 6 people per table.

Company Name

Contact Person

Telephone Number

Email Address

Company Address

VAT Number (for invoice)

Guest 1 Name

Guest 1 Dietary Requirements

Guest 2 Name

Guest 2 Dietary Requirements

Guest 2 Name

Guest 2 Dietary Requirements

Guest 3 Name

Guest 3 Dietary Requirements

Guest 4 Name

Guest 4 Dietary Requirements

Guest 5 Name

Guest 5 Dietary Requirements

Guest 6 Name

Guest 6 Dietary Requirements

Declaration: I/We understanding that submitting this form constitute registration for the above event. I/We remain liable for payment if I/we do not cancel the booking in writing before 11th March 2022, or if I/we fail to attend the event without having cancelled the booking within the stipulated time. Please note that failing to attend once a place has been reserved, will result in you being charged R350pp. The IIKZN is not liable for any damage to property or harm caused to the individual during the event and therefore everyone partakes at their own risk.