South African Congress of Nephrology

Cape Town International Convention Centre (CTICC)
16 April 2010 to 19 April 2010

 MAIN  |  ABSTRACTS  |  INVITATION LETTER  |  PROGRAMME  |  ABSTRACT SUBMISSION FORM  |  ACCOMMODATION 

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: 31 January 2010
 
REGISTRATION TYPES Late Cost
Doctors / Specialists (Members) Full (Fri, Sat, Sun, Mon) 2600
Doctors / Specialists (Members) Daily 1000
Doctors / Specialists (Non-Members) Full (Fri, Sat, Sun, Mon) 2800
Doctors / Specialists (Non-Members) Daily 1000
Nurses / Registrars / Technologists (Members) Full (Fri, Sat, Sun, Mon) 2300
Nurses / Registrars / Technologists (Members) Daily 800
Nurses / Registrars / Technologists (Non-Members) Full (Fri, Sat, Sun, Mon) 2500
Nurses / Registrars / Technologists (Non-Members) Daily 800
 
CONFERENCE EVENTS
18/04/2010
Name: Gala Dinner
Venue: Cape Town International Convention Centre (CTICC)
Start Time: 19:30
End Time: 23:00
Dress Code: Smart Casual
Cost: Delegates 350 / Partners 350
Number Attending the Gala Dinner    Sun
 
16/04/2010
Name: Cocktail Function
Venue: Cape Town International Convention Centre (CTICC)
Start Time: 19:00
End Time: 21:00
Dress Code: Smart Casual
Cost: Nurses / Registrars / Technologists (Members) Full Registration 0 / Partners  240
Doctors / Specialists (Members) Full Registration 0 / Partners  240
Doctors / Specialists (Non-Members) Full Registration 0 / Partners  240
Nurses / Registrars / Technologists (Non-Members) Full Registration 0 / Partners  240
Delegates 0 / Partners 240
Number Attending the Cocktail Function    Fri
 
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: Conference Management 06
Account Number: 071322779
 
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