American Society of Clinical Oncology

Vineyard Hotel, Newlands, Cape Town
26 April 2008 to 27 April 2008

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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
Kosher Surcharge: R120
 None   Vegetarian   Halaal   Kosher 
 
Early Registration Cut Off Date: 01 March 2008
 
REGISTRATION TYPES Late Cost On Site Cost
American Society of Clinical Oncology Full (Sat, Sun) R850
American Society of Clinical Oncology Daily R450
ASCO International Reg fees Full (Sat, Sun) R1500
ASCO International Reg fees Daily R800
 
CONFERENCE EVENTS
26/04/2008
Name: Musical - The Kramer Petersen Songbook
Venue: BAXTER THEATRE CENTRE
Start Time: 19:00
Dress Code: None
Cost: Delegates R110 / Partners R110
Number Attending the Musical - The Kramer Petersen Songbook    Sat
Transport Cost: R30
If you require transport please select where from:
Extra Info Musical - The Kramer Petersen Songbook
 
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: 02-49-09
Account Name: Conference Management 09
Account Number: 071331409
 
CANCELLATION INFORMATION
Cancellations should be mailed, faxed or emailed to Candice Kotze at the address below. A cancellation fee of 10% will apply.  
 
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:
 

Belinda   Chapman
Tel: +27 21 406 6407
Fax: +27 21 448 6263
Email: belinda.chapman@uct-cmc.co.za