Trader Registration Form 25-27 September 2025 Registration and Set-up on 24 of September 2025, Venue: Country Club in Windhoek Name of the Company * As should appear on all the Congress media Contact Person details * First Name Last Name Email * Cellphone Number * Invoicing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Sponsoring Option * Platinum Gold Silver Stall selection Indicate your preferred stall (should you leave it open, available stall will be assigned automatically). Please note that stalls are assigned on the first come, first serve basis. G1 G2 G6 G7 G9 G10 S1 S9 S10 G1 G2 G6 G7 G9 G10 S1 S9 S10 Name Names of ALL attending persons as should appear on the name tags (including contact person if attending) First Name Last Name First Name Last Name First Name Last Name First Name Last Name First Name Last Name Total number of persons attending the Congress First additional team member will be charged N$ 2 000, any subsequent team member will be charged N$ 3 300 for Congress (meals included) Total number of persons attending the Gala Event Any additional team member will be charged N$ 1 000 for Gala Event Thank you for your submission!Kindly make a payment to:Namibia Dental AssociationBank WindhoekBranch No: Maerua Mall 483-873Acc No: 8000 664 742Please e-mail POP to traders.nda@gmail.com