COURSE 2501 Event- CMG Abridged Course on Evidence-based Marketing-- March 2025 Event Date: 26 March 2025 Please complete the below form to reserve your seat. Once we receive your information we will reach out to you. DETAILS OF DELEGATES Number of Delegates to enrol OneTwoThreeFourFive If you need to enrol more than five Delegates email webmaster@passionateaboutwebsites.co.za or WhatsApp +27725598060 for assistance. First Name of Delegate ONE Surname of Delegate ONE Address of Delegate ONE Email of Delegate ONE Cell Phone Number of Delegate ONE Designation of Delegate ONE Company of Delegate ONE MASA Member (Delegate ONE) YESNO First Name of Delegate ONE Surname of Delegate ONE Address of Delegate ONE Email of Delegate ONE Cell Phone Number of Delegate ONE Designation of Delegate ONE Company of Delegate ONE MASA Member (Delegate ONE) YESNO --------------------- First Name of Delegate TWO Surname of Delegate TWO Address of Delegate TWO Email of Delegate TWO Cell Phone Number of Delegate TWO Designation of Delegate TWO Company of Delegate TWO MASA Member (Delegate TWO) YESNO First Name of Delegate ONE Surname of Delegate ONE Address of Delegate ONE Email of Delegate ONE Cell Phone Number of Delegate ONE Designation of Delegate ONE Company of Delegate ONE MASA Member (Delegate ONE) YESNO --------------------- First Name of Delegate TWO Surname of Delegate TWO Address of Delegate TWO Email of Delegate TWO Cell Phone Number of Delegate TWO Designation of Delegate TWO Company of Delegate TWO MASA Member (Delegate TWO) YESNO --------------------- First Name of Delegate THREE Surname of Delegate THREE Address of Delegate THREE Email of Delegate THREE Cell Phone Number of Delegate THREE Designation of Delegate THREE Company of Delegate THREE MASA Member (Delegate THREE) YESNO First Name of Delegate ONE Surname of Delegate ONE Address of Delegate ONE Email of Delegate ONE Cell Phone Number of Delegate ONE Designation of Delegate ONE Company of Delegate ONE MASA Member (Delegate ONE) YESNO --------------------- First Name of Delegate TWO Surname of Delegate TWO Address of Delegate TWO Email of Delegate TWO Cell Phone Number of Delegate TWO Designation of Delegate TWO Company of Delegate TWO MASA Member (Delegate TWO) YESNO --------------------- First Name of Delegate THREE Surname of Delegate THREE Address of Delegate THREE Email of Delegate THREE Cell Phone Number of Delegate THREE Designation of Delegate THREE Company of Delegate THREE MASA Member (Delegate THREE) YESNO --------------------- First Name of Delegate FOUR Surname of Delegate FOUR Address of Delegate FOUR Email of Delegate FOUR Cell Phone Number of Delegate FOUR Designation of Delegate FOUR Company of Delegate FOUR MASA Member (Delegate FOUR) YESNO First Name of Delegate ONE Surname of Delegate ONE Address of Delegate ONE Email of Delegate ONE Cell Phone Number of Delegate ONE Designation of Delegate ONE Company of Delegate ONE MASA Member (Delegate ONE) YESNO --------------------- First Name of Delegate TWO Surname of Delegate TWO Address of Delegate TWO Email of Delegate TWO Cell Phone Number of Delegate TWO Designation of Delegate TWO Company of Delegate TWO MASA Member (Delegate TWO) YESNO --------------------- First Name of Delegate THREE Surname of Delegate THREE Address of Delegate THREE Email of Delegate THREE Cell Phone Number of Delegate THREE Designation of Delegate THREE Company of Delegate THREE MASA Member (Delegate THREE) YESNO --------------------- First Name of Delegate FOUR Surname of Delegate FOUR Address of Delegate FOUR Email of Delegate FOUR Cell Phone Number of Delegate FOUR Designation of Delegate FOUR Company of Delegate FOUR MASA Member (Delegate FOUR) YESNO --------------------- First Name of Delegate FIVE Surname of Delegate FIVE Address of Delegate FIVE Email of Delegate FIVE Cell Phone Number of Delegate FIVE Designation of Delegate FIVE Company of Delegate FIVE MASA Member (Delegate FIVE) YESNO --------------------- DETAILS OF THE PERSON TO RECEIVE INVOICE First Name Last Name Name of Company Address of Company Email Phone number Important Notes (optional) Gill Randall Director +27 82 457 2470 | gill@cmgroup.marketing Debbie McIntyre Director +27 83 655 0363 | debbie@cmgroup.marketing