IMC2026

PRIMARY DELEGATE INFORMATION

SPOUSE DELEGATE INFORMATION

FAMILY INFORMATION

BUSINESS INFORMATION

What line of Business/Career/Profession are you? Please indicate in the options below;

LOCATION OF REGISTRATION

Kindly let us know where you are registering from. Thank you

CONFERENCE REGISTRATION FEE (OPTIONS)

OPTION 1 (R3,000/ PER COUPLE)
OPTION 2 (R750 PER COUPLE)
OPTION 3 (R1,450 PER COUPLE)
Package excludes Friday Gala Dinner

PAYMENT INSTRUCTIONS

Please indicate the payment package in the reference, and kindly note that a 3.5% transaction fee is added.

The amount to be paid below is as follow:

OPTION 1 (Gala Dinner + Day 1 & Day 2): R3,105.00

OPTION 2(Day 2 Conference Only): R778.00

OPTION 3(Day 1 & Day 2): R1,500.75

CFI Bank account:

Couples Foundation International / FNB Acc #: 62879734442 / Cheque account Ref: IMC2026 + Surname + Initials

CFI PayPal Account - International:

accounts@couplesfoundation.org.za