Gala Dinner Booking

Thank you for your interest in our Gala Dinner with Dr. Omar Suleiman.
Please complete the form below to secure your booking.

1. Personal Information

Full Name

Email Address

Phone Number

Company/Organisation

Booking Date

Address

2. Booking Details

Booking Type

Table Booking Individual Booking

Table Booking

10 x seats (R25,000)

Individual Booking

1 x seat (R2,500) 2 x seat (R5,000) 3 x seat (R7,500) 4 x seat (R10,000) 5 x seat (R12,500)

Dietary Requirements

None Vegetarian Allergies

Special Requests

Wheelchair Access Special Needs

3. Payment Information

Invoice Required

Yes No

4. Additional Information

5. Terms & Conditions

Select to accept

I consent to the Privacy Policy & Data Protection Terms By clicking on Submit, I agree to purchasing a table for the Gala Dinner.

6. Contact Us

Scroll to Top