Immunology of Health and Disease

Monkey Valley Resort
09 March 2008 to 15 March 2008

 MAIN  |  ABSTRACTS  |  1ST ANNOUNCEMENT   |  ACCOMMODATION 

Registration Form

Title:
Name:
Surname / Family Name:
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 
 
REGISTRATION TYPES Late Cost On Site Cost
Invited Speaker and Kids Fees $ Full (Sun, Mon, Tue, Wed, Thu, Fri) $350
Invited Speaker and Spouses Fees $ Full (Sun, Mon, Tue, Wed, Thu, Fri) $1000
Invited Speaker Only $ Full (Sun, Mon, Tue, Wed, Thu, Fri) $350
Invited Speaker, Spouse and Kids Fees $ Full (Sun, Mon, Tue, Wed, Thu, Fri) $1000
 
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.
 
BANK DETAILS:
Bank: Standard Bank
Branch: Mowbray
Branch Code: 024909
Account Name: Conference Management 13
Account Number: 071283803
 
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:
 

Deidre   Raubenheimer
Tel: 021 406 6167
Fax: 021 448 6263
Email: Deidre.Raubenheimer@uct-cmc.co.za