{"id":335,"date":"2025-01-14T03:50:34","date_gmt":"2025-01-14T03:50:34","guid":{"rendered":"https:\/\/socialimpactindaba.co.za\/?page_id=335"},"modified":"2025-08-27T14:21:31","modified_gmt":"2025-08-27T14:21:31","slug":"delegate-registration-form","status":"publish","type":"page","link":"https:\/\/socialimpactindaba.co.za\/?page_id=335","title":{"rendered":"Delegate Registration Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.14.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.14.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.14.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.14.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243; header_font=&#8221;Poppins||||||||&#8221;]<\/p>\n<h1>Welcome to Registration for the 2026 Social Impact Indaba<\/h1>\n<p><span>Don&#8217;t miss out on exclusive savings\u2014book your Early Bird tickets for the Social Impact Indaba today! Secure your spot at the forefront of positive change and save while you can. Act now and be part of the movement shaping the future! <strong>Get 10% off<\/strong> your delegate <strong>Early Bird ticket!<\/strong> This exclusive offer is valid until <strong>31 May 2026.<\/strong><\/span><\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.14.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f269-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"269\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F335#wpcf7-f269-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"269\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f269-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_uacf7_hidden_conditional_fields\" value=\"\" \/>\n<\/fieldset>\n\t\t\t\t<style>\n\t\t\t\t\t.uacf7-uacf7style-269 label {\n\t\t\t\t\t\tfont-size: 15px;font-family: Poppins;font-style: normal;font-weight: normal;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"email\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"number\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"password\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"search\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"tel\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"text\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"url\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"date\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"radio\"],\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"checkbox\"],\n\t\t\t\t\t.uacf7-uacf7style-269 select,\n\t\t\t\t\t.uacf7-uacf7style-269 textarea {\n\t\t\t\t\t\tcolor: #000000;font-style: normal;font-weight: normal;border-style: solid!important;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-269 .wpcf7-radio span,\n\t\t\t\t\t.uacf7-uacf7style-269 .wpcf7-checkbox span {\n\t\t\t\t\t\tcolor: #000000;font-style: normal;font-weight: normal;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-269 textarea {\n\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t.wpcf7-form-control-wrap select {\n\t\t\t\t\t\twidth: 100%;\n\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"submit\"] {\n\t\t\t\t\t\tcolor: #ffffff;background-color: #9b1f53;font-size: 15px;font-style: normal;font-weight: normal;border-style: none;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-269 input[type=\"submit\"]:hover {\n\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t\t\t\t\t<\/style>\n\n\t\t\t\t<div class=\"uacf7-uacf7style uacf7-uacf7style-269\"><div class=\"uacf7-form-wrapper-container uacf7-form-269  uacf7-uacf7style uacf7-uacf7style-269\"><div class=\"uacf7-row\"><div class=\"uacf7-col-4\"> \n<label> First Name\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-151\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-151\" \/><\/span>  <\/div><div class=\"uacf7-col-4\"> <label> Last Name\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-459\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-459\" \/><\/span> <\/div><div class=\"uacf7-col-4\"> <label> Title\n<span class=\"wpcf7-form-control-wrap\" data-name=\"select-862\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-862\"><option value=\"Mr\">Mr<\/option><option value=\"Mrs\">Mrs<\/option><option value=\"Ms\">Ms<\/option><option value=\"Dr.\">Dr.<\/option><option value=\"Prof.\">Prof.<\/option><\/select><\/span> <\/div><\/div>\n\n<div class=\"uacf7-row\"><div class=\"uacf7-col-4\"> <label> Organization\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label> <\/div><div class=\"uacf7-col-4\"> <label> Job Title\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label> <\/div><div class=\"uacf7-col-4\"><label> Email Address\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label> <\/div><\/div>\n\n<div class=\"uacf7-row\"><div class=\"uacf7-col-6\"> <label> Country\n\n\t\t\n\t\t\t<span id=\"uacf7_country_select\" class=\"wpcf7-form-control-wrap  uacf7_country_dropdown-988\">\n\n\t\t\t\t<input id=\"uacf7_countries_uacf7_country_dropdown-988\" type=\"text\" class=\"wpcf7-form-control wpcf7-uacf7_country_dropdown wpcf7-validates-as-required uacf7_country_dropdown_with_flag\" aria-required=\"true\" aria-invalid=\"false\" name=\"uacf7_country_dropdown-988\">\n\n\t\t\t\t<span> <\/span>\n\n\t\t\t\t<div style=\"display:none;\">\n\t\t\t\t\t<input type=\"hidden\" id=\"uacf7_countries_uacf7_country_dropdown-988_code\" data-countrycodeinput=\"1\"\n\t\t\t\t\t\treadonly=\"readonly\" placeholder=\"Selected country code will appear here\" \/>\n\t\t\t\t<\/div>\n\n\t\t\t<\/span>\n\t\t<\/div><div class=\"uacf7-col-6\"> \n<label>Telephone Number\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phonetext-360\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-phonetext wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-phonetext\" data-numberonly=\"true\" aria-required=\"true\" aria-invalid=\"false\" value=\"Telephone Number\" type=\"text\" name=\"phonetext-360\" \/><input type=\"hidden\" name=\"phonetext-360-country-code\" class=\"wpcf7-phonetext-country-code\" \/><\/span> <\/div><\/div>\n\n<div class=\"uacf7-row\"><div class=\"uacf7-col-4\"> <label> Delegate Registration Type\n<span class=\"wpcf7-form-control-wrap\" data-name=\"select-444\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-444\"><option value=\"\">Standard<\/option><option value=\"Deluxe\">Deluxe<\/option><option value=\"Premium\">Premium<\/option><\/select><\/span> <\/div><div class=\"uacf7-col-4\"> <label> Number of Delegates to Attend\n<span class=\"wpcf7-form-control-wrap\" data-name=\"number-598\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"1\" max=\"10\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-598\" \/><\/span> <\/div><div class=\"uacf7-col-4\"> <label> Sector\n<span class=\"wpcf7-form-control-wrap\" data-name=\"select-991\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-991\"><option value=\"Government\">Government<\/option><option value=\"Nonprofit\">Nonprofit<\/option><option value=\"Corporate\">Corporate<\/option><\/select><\/span><\/div>\n\n<div class=\"uacf7-row\"><div class=\"uacf7-col-4\"> <label> Organisation's Social Impact\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-625\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-625\" \/><\/span> <\/div><div class=\"uacf7-col-4\"><label> Website (Optional)\n<span class=\"wpcf7-form-control-wrap\" data-name=\"url-178\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-url wpcf7-text wpcf7-validates-as-url\" aria-invalid=\"false\" value=\"\" type=\"url\" name=\"url-178\" \/><\/span>\n <\/div><div class=\"uacf7-col-4\"> <label> Linkedin Profile (Optional)\n<span class=\"wpcf7-form-control-wrap\" data-name=\"url-288\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-url wpcf7-text wpcf7-validates-as-url\" aria-invalid=\"false\" value=\"\" type=\"url\" name=\"url-288\" \/><\/span><\/div><\/div>\n\n<label> Gender\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-353\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-353\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-353\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-353\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-353\" value=\"Prefer Not To Say\" \/><span class=\"wpcf7-list-item-label\">Prefer Not To Say<\/span><\/span><\/span><\/span>\n\n\n\n<label> Do you want to take an exhibition booth?\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-618\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-618[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-618[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\n\n<label> Terms and Conditions\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Acceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Acceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">All cancelled tickets will incur both cancellation and processing charges. \u2022 Tickets may only be cancelled in writing. Send an email to: info@socialimpactindaba.co.za \u2022 Paid delegate registrations may not be cancelled after 31 July 2026. \u2022 Refunds for cancellation received before 31 July 2026 will be processed less 30% cancellation and processing charges. \u2022 No refund will be made for cancellations after 31 July 2026. Note: If the refund is applied to your credit card, your bank may take up to 14 \u2013 21 additional business days to post the refund to your account.<\/span><\/label><\/span><\/span><\/span>\n\n\n\n\n\n\n\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SUBMIT\" \/><\/div><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to Registration for the 2026 Social Impact Indaba Don&#8217;t miss out on exclusive savings\u2014book your Early Bird tickets for the Social Impact Indaba today! Secure your spot at the forefront of positive change and save while you can. Act now and be part of the movement shaping the future! Get 10% off your delegate [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-335","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/pages\/335","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=335"}],"version-history":[{"count":11,"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/pages\/335\/revisions"}],"predecessor-version":[{"id":1703,"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=\/wp\/v2\/pages\/335\/revisions\/1703"}],"wp:attachment":[{"href":"https:\/\/socialimpactindaba.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}