GP CONFERENCE 2010

Kramer Building, Middle Campus, UCT and Kramer Building, Middle Campus, UCT
11 January 2010 to 15 January 2010

 MAIN  |  ABSTRACTS  |  PROVISIONAL PROGRAMME  |  INFORMATION 

Registration Form

Title:
Name:
Surname / Family Name:
HPCSA No:
Organisation / Society:
Postal Address:
Postal Code:
Province:
Country:
Email:
Confirm Email:
Telephone:
Fax:
Mobile:
 
DIETARY REQUIREMENTS
Please indicate if you have an strict dietary requirements
 None   Vegetarian   Halaal   Kosher 
 
Early Registration Cut Off Date: 30 November 2009
 
REGISTRATION TYPES Late Cost
Infec tious Diseases Full (Mon, Tue) 1450
Infec tious Diseases Daily 750
Infectious Diseases & GP Conference (Full Week) Full (Mon, Tue, Wed, Thu, Fri) 3100
Infectious Diseases & GP Conference (Full Week) Daily 750
UCT General Practioners' Conference Full (Wed, Fri, Thu) 1650
UCT General Practioners' Conference Daily 750
 
PAYMENT INFORMATION:
 
Local Delegates
  • Bank deposits (preferred method of payment): Please see banking details below and fax a legible deposit slip to +27 21 448 6263.
  • Electronic transfers: Please see banking details below and fax a legible deposit slip to +27 21 448 6263.
  • Cheques: Please see account name and address below under "Banking Details".
  • Credit cards: Please print the authorisation form, complete in full and return according to the directions provided.
Overseas Delegates
  • Electronic transfers: Please see banking details below and fax a legible deposit slip to +27 21 448 6263.
  • Credit cards: Please print the authorisation form, complete in full and return according to the directions provided.
  • Tele-transmissions (preferred method of payment): Please see banking details below, quote our Swift code (SBZAZAJJ) and e-mail or fax proof of payment to +27 21 448 6263.
 
BANK DETAILS:
Bank: Standard Bank
Branch: Mowbray
Branch Code: 024909
Account Name: GP Refresher Course
Account Number: 071277617
 
AIRPORT TRANSFERS AND TOURS
For information or to book an airport transfer please contact:
Mpumalanga Tours, Robin Troup
Tel. +27 (0) 82 657 3443

Email: wildsafari@worldonline.co.za
 
FURTHER INFORMATION AND ENQUIRIES:
 

Janet   Sirmongpong
Tel: +27 21 4066733
Fax: +27 21 4486263
Email: janet.sirmongpong@uct-cmc.co.za