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::  Programme
::  Speakers
::  Organising Committee
::  Exhibitors
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& Transfers
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  ::  Abstracts
  ::  Registration
  ::  Application for Sponsorship

Registration Form

 

Click here to download the pre-congress workshop registration form (PDF)
Click here to download the congress registration form (PDF)

Please complete the form below and send your proof of payment to the Congress Secretariat on fax: (011) 768 1174 or fax (011) 768 6750
PERSONAL DETAILS
   
Title:
Initials: *
First Name for Badge: *
Surname: *
Tel no: *
Fax no:
Cell no: *
Email: *
HPCSA no: *
Postal address:
 
Code:
Special Meal Requirements:
Partner / Spouse (if applicable - for social functions only) Yes No
   
 

PRE-CONGRESS WORKSHOPS WILL BE HELD AT SUN CITY ON
SUNDAY 31 OCTOBER FROM 11H00 - 13H30 AND REPEATED FROM 14H00 - 16H30
(LUNCH WILL BE INCLUDED)
Please indicate which workshop you want to register for:
SUNDAY 31 OCTOBER 2010
11h00 - 16h30		 SUNDAY 31 OCTOBER 2010
14h00 - 16h30
Urogynaecology (Full day workshop)  
11h00 - 13h30
14h00 - 16h30
Obstetrical Ultrasound
Medical Protection Society
Colposcopy
Laparoscopy
Obstetric Medicine
CTG workshop		 Obstetrical Ultrasound
Medical Protection Society
Colposcopy
Laparoscopy
Obstetric Medicine
CTG workshop
       
SPECIALISTS      
  SASOG Member None SASOG Member Registrars / Nurses Others (GPs, ETC)
Registration Fee Urogynaecology workshop (Full Day)
  R1 500.00 R1 700.00 R 550.00 R 650.00
Registration Fee for one workshop only (in any category)
  R1 000.00 R1 200.00 R550.00 R 650.00
Registration Fee for Two workshops (in any Category)
  R1 500.00 R1 700.00 R950.00 R1 150.00
       
Pre-Congress Workshop Fees      
       
Congress Registration
Invited local faculity    
  EARLY REGISTRATION
BY 31 August 2010		 LATE REGISTRATION
FROM 1 September 2010		 ON-SITE REGISTRATION
OPENS 31 October 2010
SPECIALISTS  
SASOG Member R2 400.00 R2 700.00 R3 200.00
Non-SASOG Member R2 700.00 R3 000.00 R3 500.00
Registrars / Nurses R1 500.00 R1 800.00 R2 300.00
Ultrasonographers R1 500.00 R1 800.00 R2 300.00
Others (GPs, ETC): R2 000.00 R2 300.00 R2 800.00
PARTNER / SPOUSE:      
For Social Functions only R 500.00 R 600.00 R1 100.00
TRADE DELEGATES:      
2 x free registrations per stand      
All additional delegates R1 000.00 R1 300.00 R1 800.00
DAY REGISTRATION (SPECIALISTS)    
Monday R1 200.00 R1 500.00 R2 000.00
Tuesday R1 200.00 R1 500.00 R2 000.00
Wednesday R 700.00 R 900.00 R1 400.00
DAY REGISTRATION (REGISTRARS, NURSES, ULTRASONOGRAPHERS & GPs)    
Monday R 950.00 R1 250.00 R1 750.00
Tuesday R 950.00 R1 250.00 R1 750.00
Wednesday R 650.00 R 750.00 R1 250.00
SOCIAL FUNCTIONS
Please indicate your attendance      
Cocktail Function (Sunday)    
Gala Dinner (Tuesday) R300.00 all congress delegates    

Registration Fee:
Total for Workshops and Registration:

FOR PAYMENT BY ELECTRONIC TRANSFER / BANK DEPOSIT:
EFT
Bank deposit
Credit card

 
 

 
 
      

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