Title
First Name * Surname *
Profession / Interest ISHAM Nr
Address City *
Country *
Postal Code Email Address *
Tel Fax
Mobile    
Registration Type *
Attending
If attending on a daily basis please state day/s:
(press and hold "Ctrl" on your keyboard to click multiple days)


REGISTRATION FEES
  Onsite
Academics & Clinicians Full Workshop R 4 600 R 5 200
Academics & Clinicians Daily R 1 900 R 2 200
Post Grad Student Full Workshop R 2 300 R 2 900
Post Grad Student Daily R 1 150 R 1 450

All fees include VAT

Full conference fee includes teas, lunches and registration material

SOCIAL PROGRAMME:
Event Attending Number
Welcome Reception
Wolfson Pavilion Lecture Theatre
Wednesday 10 July
No charge for delegates registered for the full Conference.
Daily Delegate / Partner Fee: R250.00
Conference Dinner
Venue: GOLD Restaurant
Thursday 11 July
Fee: R 600
Return Transfers from the conference venue to the dinner venue will be provided. Please indicate if you will be making use of the transfers  
 
DIETARY REQUIREMENTS If other, please specify:
Accompanying person requirements If other, please specify:

All Fees above include VAT
Click here for a CURRENCY CONVERTER

To calculate the total fees for your registration, please click on the "Calculate" button. Based on your selection the appropriate registration fee will update automatically. Once completed, please click on the "Register Now" button.

Registration Fee
Cocktail Fee
Conference Gala Dinner Fee
Total Fee
* denotes a required field

PAYMENT INFORMATION

  1. Bank deposits: Please see banking details below and fax the deposit slip to + 27 21 448 7694 or email to conference1@onscreenav.co.za
  2. Internet transfers: Please fax proof of payment to + 27 21 448 7694 or email to conference1@onscreenav.co.za
  3. Cheques: Please see account name and address below. No foreign cheques.
  4. Postal orders and travellers cheques will NOT be accepted.
  5. The completed registration form together with the relevant payment must be received no later than 30 April 2019, in order to benefit from the reduced early registration fee.
  6. Please ensure that the name of the meeting and of the participant is stated on the bank transfer.
  7. Bank charges are the responsibility of the delegate and should be paid at source in addition to the registration fees.
  8. Registration will only be valid upon receipt of the full payment by the registration department according to the deadline indicated. An email confirming registration will only be sent after receipt of the required fees.
  9. Outstanding payments will be collected on-site and charged the on-site rate. A copy of the bank transfer (or other proof of payment) will be required in the event that registration fees were not credited to the meeting account on time

BANK TRANSFER/ELECTRONIC TRANSFER: ABSA Bank; Claremont Branch; Branch Code: 632005; Account Name: Conference 7, Account Number: 9280277913

Please use your name as the reference

CREDIT CARD:

To pay by credit card, please go HERE
Please note that the page is 3D secure.

CANCELLATIONS:
Cancellations should be e-mailed to Bridget de Beer prior to 30 April 2019 and a 15% cancellation fee will apply. Thereafter a 100% cancellation fee applies.

ENQUIRIES:
Bridget de Beer
Tel. 021 486 9111
Mobile. 061 313 1090
Fax. 021 448 7694
Email. conference1@onscreenav.co.za

DISCLAIMER
Institute of Infectious Disease and Molecular Medicine and Onscreen Conferences & Events (or their agents) will not be liable for changes beyond their control and may alter or cancel without prior notice, the conference or any of the arrangements, timetables, plans or other items relating directly to indirectly to the conference. Nor will they be liable for any loss, damage, expenditure or inconvenience caused to participants and their belongings either during or as a result of the conference or as a result of such alterations or cancellations. Please check the validity of your own insurance.