Title:   First Name:
Last Name:  

Job Title:
Company Name:   Postal Address:
Tel. No.:   City:
Fax No.:   Postal Code:
Email:   Website:
Dietary Requirements:

  Fees:
  • 3 Day Rate : R150 per delegate / R75 for students
  • 1 Day Rate : R75 per delegate / R50 for students

(students cards to be shown on collection of accreditation)
Limited Space is available for the following sessions, kindly indicate which sessions you wil be attending to assist us with space allotment:
Masterclass: Pepita Ferrari Masterclass: Hamid Ramhanian Masterclass: Lucinda Broadbent Masterclass: Bob Coen Masterclass: Sean McAllister
 

  Payment Method:

Internet Transfer / Cash Deposit into bank account

Banking Details:
Account Name: The Human Rights Media
Trust Bank: Nedbank
Account No: 1011133903
Branch Code: 101109

Proof of payment to be sent to fax no: 086 527 1448 or email address: p2p@uhuruproductions.co.za

Conference accreditation and material to be collected from 7.30am on Conference Day 1