REGISTRATION FORM 2010

TEMBE ELEPHANT PARK 
& KOSI LAKES

PHOTOGRAPHY FIELD WORKSHOP

Please indicate which Field Workshop you want to register for:

Tembe Elephant Park: 26 - 30 May
Name 
Surname     
Address 
City:  
Country: 
Code: 
Cell Number: 
Tel. Number         
Email Address
Number of Photographers
Special dietary requirements 
Method of Payment
Cheque      
Electronic transfer - Internet (please use your name in the transaction description field)     
Credit Card (please request a Credit Card Authorization Form from adevill@iafrica.com)
Bank detail: A DE VILLIERS

ABSA BANK
Account number (current): 710105383
Branch: La Lucia 
        Please Email  your deposit slip to:  
adevill@iafrica.com

Please Note: A deposit of 50% is payable on reservation. Your booking will be secured on payment of the deposit. The balance is payable 30 days before commencement of the workshop
Cost  
Tembe Elephant Park  Single (Suni):            R8900                                  
Double (Matriarch) :   R8100                                
Any other information  required or special requests:
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