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Registration Form

Attendance Preference Main Congress Only
  Pre-Congress and Main Congress
  Pre-Congress Only
   

Delegate Registration Details

Please complete the following and return with your credit card details or proof of payment to the Congress Secretariat
on fax: (011) 768 1174 or fax: (011) 768 6750
   
Title:
First Name: *
Surname: *
HPCSA no:
Postal Address:
 
Postal Code:
Tel: *
Fax: *
Cell no :
Email:   *
Special meal requirements:
Partner / Spouse Title: First Name: Surname:
 

Main Congress Registration Details

Please select one of the three options

       
  REGISTRATION CATEGORIES   REGISTRATION
FROM 01 JUNE 2008
ON-SITE
1. FULL REGISTRATION :
  SPECIALISTS:
  SASOG MEMBER   R2 400.00 R2 900.00
  NON-SASOG MEMBER   R2 700.00 R3 200.00
  REGISTRARS / NURSES   R1 750.00 R2 250.00
  OTHERS (GPs, etc):)   R2 600.00 R3 100.00
  TRADE DELEGATES:      
  2 x free registrations per stand All additional delegates   R 850.00 R 950.00
     
 
2. DAY REGISTRATION (SASOG AND NON-SASOG MEMBERS):      
  Day Registration
  Sunday   R1 400.00 R1 600.00
  Monday   R1 400.00 R1 600.00
  Tuesday   R 900.00 R1 100.00
3. DAY REGISTRATION (REGISTRARS & NURSES):      
  Day Registration
  Sunday   R 950.00 R1 050.00
  Monday   R 950.00 R1 050.00
  Tuesday   R 600.00 R 700.00
       
       
GALA DINNER (MONDAY EVENING AT MOYO’S) All congress delegates:   R 150.00  
  PARTNERS / SPOUSES:  
  For social functions only   R 500.00 R 600.00
 
TOTAL FEES PAYABLE(Main Event):
   
Payment Details
TOTAL FEES PAYABLE
Payment Method Electronic Transfer
  Bank Deposit
  Credit Card
 

 

 

 
     
 
      

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