South African Transplant Congress

Spier Estate
24 September 2009 to 27 September 2009

 MAIN  |  ABSTRACTS  |  FINAL PROGRAMME  |  INFORMATION & IMPORTANT DATES  |  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 July 2009
 
NURSES PAY HALF PRICE
REGISTRATION TYPES Late Cost On Site Cost
Full Congress Full (Thu, Fri, Sat, Sun) R2800
Full Congress Daily R1000
Nurses Full (Thu, Sat, Sun, Fri) R1400
Nurses Daily R500
 
CONFERENCE EVENTS
26/09/2009
Name: Gala Dinner
Venue: Moyo, Spier Estate, Stellenbosch
Start Time: 18:30
End Time: 21:00
Dress Code: Smart Casual
Cost: Delegates R300 / Partners R300
Number Attending the Gala Dinner    Sat
 
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: 071 322 779
 
CANCELLATION INFORMATION
Cancellations should be mailed, faxed or e-mailed to Janet Sirmongpong at the address below. A cancellation fee of 10% applies if received before 31 July 2009. 100% Cancellation fee, after 31July 2009. 
 
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