Please fill in this form to register for TEDxPretoriaLIVE

TEDxPretoriaLIVE is a live simulcast of TED Global taking place on 12 June 2013 at The University of Pretoria. Delegates will be carefully selected so please make sure that you tell us WHY you would like to attend. We can only accommodate 250 people. We will let successful delegates know by 31 May 2013. For any inquiries or additional information e-mail us at ATTENDANCE IS FREE!

* 1. Please enter your Name and Surname

* 2. Please enter your Company Name

* 3. Position in the company eg. Innovation Manager

* 4. Enter your Email address (please make sure you type this correctly)

* 5. Enter your Contact number

* 6. Why would you like to attend this event?

* 7. Organisation Type

* 8. How did you hear about this event?