SUCCESSFUL EXHIBITING

3-HOUR WORKSHOP

First name and surname ....................................................................................................................

Company ............................................................................................................................................

Postal address ................................................................................................... Code ......................

Phone: ...............................................................   Fax: ......................................................................

Cell: ...................................................................   E-mail: .................................................................

Hereby book .............. places at the Successful Exhibiting workshop, taking place on 10th June, 2003. Price is R682.86 per person. Total payment due R ...................  Payment due on invoice. Please fax deposit slip, or transaction record to EXSA at 011-805-7273.

EXSA bank details: EXSA - Standard Bank - Branch code 006405 - Current account 201 048 604

Please complete this form and e-mail to EXSA at exsa@exsa.co.za or fax to 011-805-7273