Lesa Test Page

Title

Name

Surname

ID Number

Job title

Company/Reserve name

Telephone number

Email address

Dietary requirements

Any other special requirements

Car registration number - this is needed for access to the CSIR campus on day 4.

I will be attending:

Day 1 - 3: Rhino Protection Conference

Day 4: Community engagement

Day 4: Enforcement - only select if you have been invited to this session by the organisers.

Please select one:

I am a paying delegate

I am a ranger applying for sponsorship (please read note below)

I am an invited speaker

Upload Copy of ID