19^th South African Regional Convention 2012
"One Promise"

Bookings are closed. Please contact if you'd like to be added to the list for cancellations.

Name

Surname

Area / Region
part of the country / world you're from

Gender

Male
Female

Age

Cell Number

Email Address
@na.org.za email addresses won't work

Accommodation required?

Registration for Accommodation bookings closed at Midnight on 1 October
Please register for accommodation if you would like to be added to the waiting list for cancellations

All day visitors must please register for catering purposes

Full weekend package (incl. 6 x consecutive meals)		R775
1 night package (incl. 3 x consecutive meals Breakfast, Lunch, Supper)		R425
Semi-Luxury Booking Max 4 persons If interested please contact		R3200
Day Visitor (meals available below, no meals included)		R100 for first day, R65 p/day after that

If day visitor, how many days?

Please note: no food may be brought onto the property.

Extra meals?

Breakfast R60/meal Lunch R95/meal Dinner R75/meal

No discounts for missed meals but please let us know if you will miss a meal (due to late arrival or early departure) to limit wastage.

Allergies

Not everybody can afford the convention, but we all deserve recovery.
Please ask for help — or help someone hear the message.

Need Sponsorship

Yes No

Can you give a donation?

Please list (full names) those with whom you wish to share accommodation

Person 1
Person 2
Person 3
Person 4

They will need to book separately

Would you like to buy a T-Shirt at R100 (Every booking comes with a free mug)

Yes
No

If so, what size

S
M
L
XL
XXL

Would you like to be contacted to order additional merchandise such as caps, sweat shirts etc?

Yes
No

Can you assist with transport?

Yes
No

Do you require transport?

Yes
No

If yes, from where?

Please ensure that you arrive at OR Tambo or Lanseria airport on the Friday before 5:00pm and that your flight home on Sunday does not leave before 5:00 pm
Costs dependant on final numbers. Travel from Lanseria will be about half the price of travel from O.R. Thambo, so please book flights to/from Lanseria to save yourself money

Do you wish to share at or chair a meeting?

Neither
Share
Chair

Extra notes

Payment method

EFT
Bank Deposit

Part or full payment?

Full payment
Part payment

No-one should be prevented from attending the convention because they can’t afford a ticket. Ask for assistance. Contact the convention committee in confidence at .

Your accommodation and sharing options will be secured once full payment has been received

Payments

Deposits to be made into the following bank account:
Bank: First National Bank
Account name: Narcotics Anonymous South Africa
Branch: Wierda Valley
Branch code: 260950
Account number: 621 616 363 56
Deposit reference: Your personal registration number (To be emailed to you)

Refund Policy

Before 28 September 2011 – No penalty for cancellation
3 weeks prior to Convention – 50 % convention fee
2 weeks prior to Convention – 100 % convention fee

Convention contact list

Bookings:
Sponsorship:
Payments:
Share/Chair:
General:

19th South African Regional Convention 2012 "One Promise"

19^th South African Regional Convention 2012
"One Promise"