7 - 8 June 2017
Sandton Convention Centre
9am - 5pm
Please fill in this form to pre-register and get your badge today!
Mandatory fields are marked with *
Title *
First Name *
Surname *
Job Title *
Company *
Email Address *

Specialised Exhibitions Montgomery may, from time to time, send updates about Madex and other relevant Specialised Exhibitions Montgomery products and services. Your email will not be passed on to third parties. By providing your email address you consent to being contacted about relevant shows by Specialised Exhibitions Montgomery.

Physical Address *
Town *
Postcode / Zip Code *
Postal Address
Postcode / Zip Code
Country *
Twitter handle
Phone Number
Mobile Number *

By providing your mobile no. you consent to Specialised Exhibitions Montgomery contacting you with mobile text updates prior to the event only.

1. Please select your age *


2. Gender *


3. What is your company's main business industry or sector? *


4. What are you coming to see at the show? *
(Please select all options that apply)


5. What is your job function? *
(Please tick one box only)


6. What is your level of purchasing authority? *


7. What is the Reason for visiting Madex *
(Please tick all that apply)

8. Which seminar content session types would you be interested in attending? *
(Please tick all that apply)

9. Where did you hear about Madex? *
(Please tick all that apply)

10. Which Associations do you belong to? *
(Please tick all that apply)

11. Select which partners you would like to receive information from



Please note the following:

- No prams, toddlers, babies in arms or children under 18 allowed.
- Entry into Madex is free for visitors who pre-register on www.madex.co.za.
- Should you not have pre-registered or have an entry ticket, a fee of R50 will be charged at the door.
- Student access is limited to Thursday, 8 June 2017 from 14:00 (by written confirmation from the
  Organiser. Please contact Natasha Heiberg on info@madex.co.za).

- VISA applications: Please view the requirements for a VISA application letter on www.madex.co.za.