Dear Client, BOOKING ENQUIRY FORM Thank you for your interest in the as a venue for your event. We look forward to supporting you in hosting a successful function. If you prefer to download this Booking Enquiry Form in order to fill it in as a hard copy, sign, scan and email back to us, please do so by clicking download booking enquiry form. Please fill in the hard copy, sign/initial all the pages and email the completed document to: Carol Crozier carolc@jse.co.za +27 11 520 7389 Please ensure you read our Venue & Facilities Terms and Conditions for your consideration as part of this booking process, and be advised that submission of this form does not guarantee your booking can be accommodated. You will receive an email response confirming receipt of your booking enquiry and reflecting the information you enter onto this form. If, for any reason, the is unable to accommodate your booking, you will in due course receive formal notification thereof. All bookings are subject to approval by the Limited, who reserves the right at its sole discretion to decline any booking. Once we are able to confirm your booking, your Event Officer will forward you a Function Sheet for completion, which, together with this Booking Enquiry Form and the Venue & Facilities Terms and Conditions forms the Agreement that will record the details and requirements of your Event. For your convenience, you may consult our Venue Availability Calendar to ascertain whether or not the venue you wish to hire is available on your preferred dates and times. Please fill in all fields in order to enable us to process this Booking Enquiry Form. Page 1 of 8
A. CLIENT DETAILS COMPANY NAME COMPANY REGISTRATION NUMBER COMPANY VAT NUMBER CONTACT PERSON CONTACT PERSON DETAILS WORK TELEPHONE CELLPHONE FAX EMAIL PHYSICAL ADDRESS (chosen domicilium citandi et executandi) CODE POSTAL ADDRESS CODE Page 2 of 8
B. FUNCTION DETAILS COMPANY RESULTS COMPANY LISTING FUNCTION PURPOSE Please place an X next to your preferred option. COMPANY SEMINAR OR CONFERENCE COMPANY TRAINING FUNCTION NAME DATE/S OF FUNCTION (excluding set up dates) START TIME OF FUNCTION ON DAY 1 END TIME OF FUNCTION ON DAY 1 START TIME OF FUNCTION ON DAY 2 (if applicable) END TIME OF FUNCTION ON DAY 2 (if applicable) DESIRED SET UP TIME DRY RUNS Please place an X next to Yes or No. LAUNCH EVENT STAFF FUNCTION OTHER (please specify) No Yes Start Times If yes, please indicate times below End Times Page 3 of 8
C. VENUE REQUIREMENTS You may select more than one venue depending on your requirements. VENUE NO. OF SEATED GUESTS PREFERRED ROOM LAYOUT PREFERRED STAGE LAYOUT AUDITORIUM VENUE ATRIUM & ENTERTAINMENT VENUE RECEPTION VENUE REGISTRATION DESK REQUIREMENTS Registration desk reqirements can be discussed with your event manager. 1-60 PODIUM ONLY 61-100 Cinema style seating only. PODIUM & 2 ARMCHAIRS 101-145 PODIUM, 3 CHAIRS & TABLE 1-60 CINEMA PODIUM ONLY 61-70 CLASSROOM PODIUM & 2 ARMCHAIRS 71-180 COCKTAIL PODIUM, 3 CHAIRS & TABLE 181-200 BANQUET 201-350 U- SHAPE 1-60 61-100 101-150 Cocktail style only. 151-200 201+ NO YES If yes, how many tables will you require as registration desks? Please put an X next to the required number. 1 2 3 4 Page 4 of 8
D. FUNCTION TECHNICAL DETAILS AUDITORIUM VENUE FACILITIES PACKAGES Please place an X next to your preferred option. STANDARD PACKAGE PREMIUM PACKAGE Full HD Projectors 1080p One 3m x 2.2m Motorized Screens and Digital system with Analogue support: VGA, HDMI, HDSDI Podium with Confidence / Preview Monitor, PC, Wireless Keyboard and Mouse, Touch Control & Pointer Automated Touch Screen Control (Crestron) Wired and Wireless Laptop Presentation connectivity High Fidelity Sound System (JBL / Crown / BSS Sound Webb) Wireless Handheld and Head worn Microphones (Shure) 6 x each 64 Channel Mixing Desk Audio & Video Sound Engineer PLEASE NOTE YOU HAVE THE FLEXIBILITY TO CHOOSE INDIVIDUAL EQUIPMENT ITEMS FROM THE LIST BELOW External broadcasting connectivity Audio Conferencing ( telephone Hybrid) Cameras x 2 and Lighting Vision Mixer Blu- Ray Player (CD/DVD) with switcher ipod Docking station for background music DSTV connectivity Digital Signage on the wallboard as well as on the ticker Always On Wi- Fi Connectivity ATRIUM & ENTERTAINMENT VENUE FACILITIES PACKAGES Please place an X next to your preferred option. STANDARD PACKAGE PREMIUM PACKAGE Full HD Projectors 1080p One 3m x 2.2m Motorized Screens and Digital system with Analogue support: VGA, HDMI, HDSDI Podium with Confidence / Preview Monitor, PC, Wireless Keyboard and Mouse, Touch Control & Pointer PLEASE NOTE YOU HAVE THE FLEXIBILITY TO CHOOSE INDIVIDUAL EQUIPMENT ITEMS FROM THE LIST BELOW External broadcasting connectivity Audio Conferencing ( telephone Hybrid) Cameras x 2 and Lighting Page 5 of 8
Automated Touch Screen Control (Crestron) Wired and Wireless Laptop Presentation connectivity High Fidelity Sound System (JBL / Crown / BSS Sound Webb) Wireless Handheld and Head worn Microphones (Shure) 6 x each 64 Channel Mixing Desk Audio & Video Sound Engineer Vision Mixer Blu- Ray Player (CD/DVD) with switcher ipod Docking station for background music DSTV connectivity Digital Signage on the wallboard as well as on the ticker Always On Wi- Fi Connectivity RECEPTION VENUE FACILITIES PACKAGES STANDARD PACKAGE PREMIUM PACKAGE Seamless 24 Screen LED Video Wall 6x4 46 LED Screens: 6200mm x2400mm and Digital system with Analogue support: VGA, HDMI, HDSDI High Fidelity Sound System (JBL / Crown / BSS Sound Webb) Wireless Handheld and Head worn Microphones (Shure) Automated Touch Screen Control (Crestron) Central switching and signal management system (Crestron) PLEASE NOTE YOU HAVE THE FLEXIBILITY TO CHOOSE INDIVIDUAL EQUIPMENT ITEMS FROM THE LIST BELOW External broadcasting connectivity Audio Conferencing (telephone Hybrid) Cameras *2 and lighting Blu- Ray Player (CD/DVD) ipod Docking station for background music DSTV and Digital Signage Platform (Cisco App Space) Page 6 of 8
Submission of this Booking Enquiry Form does not constitute an agreement with Limited or a confirmation of your booking request. The will revert on your booking query and may require additional information. The reserves the right to decline a booking at its absolute discretion. NAME LIMITED COMPANY REGISTRATION NUMBER 2005/022939/06 VAT REGISTRATION NUMBER 4080119391 CONTACT PERSON Carol Crozier TEL NO. (W) 011 520 7389 E- MAIL ADDRESS carolc@jse.co.za (CELL) 078 458 1498 PHYSICAL ADDRESS One Exchange Square, 2 Gwen Lane, Sandown, Sandton, 2196 (chosen domicilium citandi et executandi) POSTAL ADDRESS Private Bag X991174, Sandton, 2146 Acknowledgement of Receipt The Venue & Facilities Hire Agreement (JVA) is comprised of the following documents: The Enquiry Booking Form; the Function Sheet; the Venue Hire Terms and Conditions; and the Event Resource Guide; In addition, the operational documents specified below are also applicable: Preferred Suppliers list; and Price List. All of the information related to the above documents is availble on the Website www.jse.co.za or directly from the Issuer Services Manager. Page 7 of 8
The, by signature of this Booking Enquiry Form, acknowledges receipt of all of the composite parts of the agreement documents of which the JVA is comprised and indicates that the client understands and confirms that the operational documents, if applicable, are available and may also require consideration by the. The client acknowledges and confirms that they will be bound by the terms of the JVA. FOR CUSTOMER SIGNED DATE DESIGNATION NAME (who warrants that he/she is duly authorised) FOR LIMITED SIGNED DATE Director: Marketing and Corporate Affairs NAME (who warrants that she is duly authorised) Page 8 of 8