<p> Equity Derivatives and Structured Products Workshop Sandton, 9-11 July 2018 Booking Form Please return both pages of this form to: [email protected] Part A – Delegate Details: Surname Click here to enter text. First Name(s) Click here to enter text. Position Click here to enter text. Dietary Requirements* Office Number Click here to enter text. Cell Number Click here to enter text. E-mail Address Click here to enter text. Part B – Line Manager Details: Contact Person Click here to enter text. Position Click here to enter text. Telephone Number Click here to enter text. E-mail Address Click here to enter text. Company Click here to enter text. Postal Address 1 Click here to enter text. Postal Address 2 Click here to enter text. Postal Address 3 Click here to enter text. Postal Address 4 Click here to enter text. Postal Code Click here to enter text. VAT Number Click here to enter text.</p><p>*Kindly note that delegates with special dietary requirements may incur a surcharge. 1. Cancellation / Substitution</p><p>Delegates who subsequently cancel their attendance or fail to attend, for whatever reason, will be required to pay a percentage of the workshop fee according to the following schedule.</p><p>Cancellation Date Percentage of Fee </p><p>More than 30 calendar days prior to the start date: 0%</p><p>Less than 30 calendar days prior to the start date: 35%</p><p>Less than 14 calendar days prior to the start date: 50%</p><p>Less than 7 calendar days prior to the start date: 100%</p><p>Substitution of delegates is possible at any time, subject to the eligibility and pre-course preparation criteria outlined in the workshop brochure.</p><p>2. Payment of Fees</p><p>The workshop fee quoted in the brochure is payable in full without deduction of local withholding and other taxes.</p><p>3. Copyright</p><p>By ticking the below box, you agree to observe the copyright of all Peter Skerritt & Associates material received in both printed and electronic formats.</p><p>You furthermore agree not to reproduce, store in a retrieval system, or transmit in any form or by any means, electronic, mechanical, photocopy, recording or otherwise any part of the material without our prior written permission.</p><p>Signature: ☐ By ticking this box, I hereby confirm that I understand and agree to abide by the cancellation, payment of fees and copyright terms as stated above. By ticking the box, I furthermore confirm that I am duly authorised by my line manager (as per the details recorded under Section B) to confirm my attendance to the training.</p><p>Click here to enter a date. </p>