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ASAPA
Leslie Building, Upper Campus, UCT
25 March 2008 to 28 March 2008
MAIN
Registration Form
Title:
Name:
Surname / Family Name:
Organisation / Society:
Postal Address:
Postal Code:
Province:
Country:
Afghanistan
Albania
Algeria
American Samoa
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaidjan
Bahamas
Bahrain
Baker Island
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Coral Sea Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
French Guiana
French Guyana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guernsey
Guinea Bissau
Guinea
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D'Ivoire)
Jamaica
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kingdom of Cambodia
Kingman Reef
Kiribati
Korea
Kuwait
Kyrgyz Republic
Lagos State
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Midway Islands
Moldavia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Navassa Island
Nepal
Netherlands Antilles
Netherlands
Neutral Zone
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Island
Pitcairn Islands
Poland
Polynesia (French)
Portugal
Principality of Andorra
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Scotland
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wake Island
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
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:
01 March 2008
REGISTRATION TYPES
Late Cost
On Site Cost
ASAPA Members Full (Tue, Wed, Thu, Fri)
R700
ASAPA Members Daily
R250
Days attending:
Tue
Wed
Thu
Fri
Non-ASAPA Members Full (Tue, Wed, Thu, Fri)
R900
Non-ASAPA Members Daily
R250
Days attending:
Tue
Wed
Thu
Fri
Students Full (Tue, Wed, Thu, Fri)
R500
Students Daily
R250
Days attending:
Tue
Wed
Thu
Fri
CONFERENCE EVENTS
27/03/2008
Name:
Conference Dinner
Venue:
To Be Announced
Start Time:
19:00
End Time:
22:30
Dress Code:
Smart Casual
Cost:
Delegates R200 / Partners R200
Number Attending the Conference Dinner
0
1
2
3
4
5
6
7
8
9
10
Thu
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 02
Account Number:
071278850
CANCELLATION INFORMATION
Cancellations should be mailed, faxed or e-mailed to Janet Sirmongpong at the address below. A cancellation fee of 20% applies
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