Registration
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Early Registration
by latest
31 Aug |
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Late Registration by
4 October
(No late registrations
will be accepted after
this date) |
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| Doctors – Society Members |
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R 2 750.00 |
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R 3 500.00 |
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| Doctors – Non-Society Members |
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R 3 300.00 |
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R 3 750.00 |
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| Nurses, Students* & Allied Medical |
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R 2 200.00 |
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R 2 750.00 |
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Accompanying Person
to Social Functions only |
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R 750.00 |
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R 750.00 |
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| Additional Trade Members |
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R 2 200.00 |
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R 2 500.00 |
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Please note: All registrations must be pre-paid. * Copy of Student Card must be attached.
Option 1: Fax, Post or E-mail
Click here to download the Registration Form
- Fax the registration form and proof of payment to +27 (0)11 442-8094
- Post to:
Critical Care Society of Southern Africa Congress 2010
PO Box 782243, Sandton 2146, Johannesburg, South Africa
- or E-mail: jan.suemc@tiscali.co.za
Option 2: Online Registration
Payment Instructions
NOTE: If registering as a group, EACH PERSON must complete a separate
registration form. This booking is non-transferable, for any changes please contact
+27 (0)11 447 3876.
Methods of Payment:
Fax through proof of payment to +27 (0)11 442 8094. Should this not be
received, your booking will be invalid. Please indicate your method of payment
on the registration form.
Clearly indicate SURNAME and INITIAL on Bank/Electronic transfers.
The Organiser will not be responsible for identifying funds if the delegate’s name
is not mentioned. The Organiser will not accept any bank charges associated with
the transfer. Please write neatly and clearly in block letters.
Credit Card
The cardholder must complete and sign the form authorising
Sue McGuinness Communications on behalf of Critical Care Society of Southern Africa to debit his/her
credit card. For security reasons, a photocopy of the front and back of the
credit card, as well as the cardholder’s identity document or passport must
be faxed together with the registration form. Click here to download form
Cheque
(South African delegates only):
All Cheques are to be made payable to Copicon and crossed ‘not transferable’.
Deposit at your nearest Absa Bank and fax through proof of deposit.
Bank Deposit or Electronic Transfer
Account Name: Copicon
Bank: Absa Bank
Branch Code: 508005
(160 Jan Smuts Avenue)
Account Number: 4060991069
Government purchase orders:
All Government purchase orders to be paid by 30
September 2010 and proof of payment to be faxed to +27 (0)
11 442 8094 or emailed to
jan.suemc@tiscali.co.za Your registration will
automatically be cancelled if payments are not received by
this due date. Confirmation of payment received will
be provided in the form of an official receipt. Without
proof of payment you will not be receipted and your
registration cannot be confirmed.
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