11TH ANNUAL GOLF TOURNAMENT

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Feb 7, 2016 - FULL NAME: COMPANY NAME: MOBILE: (Include Country Code). E-MAIL ADDRESS: DELEGATE ID NUMBER: (This can be
11TH ANNUAL GOLF TOURNAMENT ENJOY A UNIQUE GOLF EXPERIENCE AT A ‘MUST PLAY’ RATED COURSE SITUATED ONLY TEN MINUTES FROM CAPE TOWN’S CITY CENTRE.

SUNDAY, 7 FEBRUARY 2016 RONDEBOSCH GOLF CLUB

Tee Time: 11:30

GOLF PACKAGE INCLUDES:  Luxury coach transportation to and from the Rondebosch Golf Club. Coaches depart the Westin from 10:00  Welcome station with refreshments and half-way meal  Mining Indaba Commemorative Golf Caps  Shared golf buggies OPTION 1: INDIVIDUAL OPTION 2:

 Contests and prize giveaways  Exceptional locker room facilities  Els Wines tasting  Els silent auction of memorabilia. Auction proceeds will go directly to Els for Autism South Africa.

GOLF PACKAGE FEE............................................................................................................................... £55 GBP per PERSON (Excluding VAT)

FOUR BALL GROUP PACKAGE FEE.......................................................................................................................... £200 GBP per GROUP (Excluding VAT)

Reserved space is limited and booking is reserved for registered Mining Indaba delegates. Sponsored by:

Presented in collaboration with:

Return completed form before 8 January 2016 to [email protected]

www.m i n i ngi nd a b a. co m

TOURNAMENT SIGN-UP REQUIRED BEFORE 8 JANUARY 2016 All contact information is required to complete your golf booking and keep players current on any schedule changes. Your contact information will not be distributed to any third parties.

PRIMARY PLAYER CONTACT INFORMATION FULL NAME:

COMPANY NAME:

MOBILE: (Include Country Code)

E-MAIL ADDRESS:

DELEGATE ID NUMBER: (This can be found on your registration confirmation email) If you are NOT registering a group of four, then you are NOT required to complete the remainder of this reservation form. Please proceed to payment information.

SECOND PLAYER CONTACT INFORMATION FULL NAME:

COMPANY NAME:

MOBILE: (Include Country Code)

E-MAIL ADDRESS:

DELEGATE ID NUMBER: (This can be found on your registration confirmation email)

THIRD PLAYER CONTACT INFORMATION FULL NAME:

COMPANY NAME:

MOBILE: (Include Country Code)

E-MAIL ADDRESS:

DELEGATE ID NUMBER: (This can be found on your registration confirmation email)

FOURTH PLAYER CONTACT INFORMATION FULL NAME:

COMPANY NAME:

MOBILE: (Include Country Code)

E-MAIL ADDRESS:

DELEGATE ID NUMBER: (This can be found on your registration confirmation email)

PAYMENT INFORMATION Please select the golf package you have chosen: INDIVIDUAL GOLF PACKAGE

CREDIT CARD

(for individual players paying a fee of £55 + VAT per person) Invoices will be processed with the details used at the time of the original delegate registration.

To pay by credit card please provide a telephone number that you can be contacted on for payment.





FOUR BALL GROUP PACKAGE (for groups of 4 players paying a fee of £200 + VAT per group) This entire fee will be billed to one of the players in the group and the invoice will be processed with the details used at the time of the original delegate registration. Please specify the name of the player to be billed for the group package. Name:______________________________________________________________ Delegate ID Number/ Invoice reference:__________________________________

INVOICE

TOTAL AMOUNT APPROVED: ____________________________________________________ GBP (Excluding VAT)

*If required golf clubs can be rented and paid directly with the Pro Shop on day of Tournament.

BILLING CONTACT:

(* Indicates information is required)

FIRST NAME:*

LAST NAME:*

POSITION:* COMPANY/ORGANISATION:* TELEPHONE NO.:* (Include Country code) MOBILE NO.:* (Include Country Code) E-MAIL:*

Return completed form before 8 January 2016 to [email protected] Tel: +44 (0) 207 779 8890 Customer Service hours of operations: Monday – Friday, 09:30 – 17:30 (GMT)

www.m i n i ngi nd a b a. co m