Booking Form
GOLDFIELDS CALEDONIAN SOCIETY
87th Annual Congress of the Federation of Caledonian Societies
to be held at the Welkom Inn, Stateway, Welkom
Friday 14th October 2011 to Sunday 16th October 2011
TITLE: ___________________ ___________________
FIRST NAME: ___________________ ___________________
SURNAME: ___________________ ___________________
POSTAL ADDRESS: ___________________ ___________________
___________________ ___________________
___________________ ___________________
CODE: ___________________ ___________________
EMAIL ADDRESS: ___________________ ___________________
CONTACT NO.: ___________________ ___________________
CAPACITY: Delegate / Official / Observer Delegate / Official / Observer
(please circle one)
SOCIETY: _________________ ___________________
ACCOMODATION: (please cirle one)
DOUBLE / SINGLE
NAME OF PERSON SHARING ________________________
BOOKING OPTIONS: No of
Persons Amount
FULL CONGRESS PACKAGE: R1700.00
Per person sharing 14h00 Friday to
10h00 Sunday ______ R_________
SINGLE SURCHARGE: R2000.00 ______ R_________
OR
NON HOTEL RESIDENTS: R600.00
Per person ______ R__________
(Includes Ceilidh, Conference and Ball)
Only attend Ceilidh (per person) R60.00 ______ R__________
Only attend Ball (per person) R250.00 _______ R__________
Hair appointment to be made: YES / NO
I wish to attend Congress 2011, and choose to pay over 7 months. Deposit R500.00 per person, payable by the end of February 2011, balance at R200.00 per person per month by 31st August 2011.
Cheques can be made out to Goldfields Caledonian Society
Banking details for deposits or transfers
Goldfields Caledonian Society Standard Bank Market Link Account
Account: 144290960 Branch Code: 055535
