Event Booking Form

“Developing a Social Media Strategy For Your Business”

Thu May 5th – Johannesburg

Please complete the booking form below to secure your seat.

Terms & Conditions:
* As always seats are limited! Bookings will be confirmed on payment on a first come first served basis.
* All registrations must include this completed booking form as well as your proof of payment.
* No refunds or carry-overs.

Make your payment to:
(Cash or Electronic Transfer ONLY, NO cheques accepted)
Account name: Social Media IQ
Account no: 410 240 435
Standard Bank, Centurion Branch (Code: 012 645 40)

NB: Please include your name, company name, or invoice number on the proof of payment.
Fax proof of payment to 086 653 5093 or email to bookings@socialmediaiq.co.za

Presented by Social Media IQ
(012) 654 2638 / 082 218 9486

Name & Surname

Tel No (Cell & Landline)

Email address

Company name

Position held

How many delegates are you booking for?

Names, cellphone no and email of additional delegates:

Select which workshop you're booking for

Total amount due for this booking

Invoice required?

How did you find out about this workshop?

Which of the following social networks, if any, do you belong to or use?
(Select all that apply)

 Other (please list which ones below)

What is your level of understanding of social media?
(Your answer is defined on a scale between 1 ‘Beginner’ and 5 ‘Expert’)
 1 2 3 4 5

I hereby acknowledge that I understand and agree to the terms and conditions of my booking.*

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