Application for Registration

Complete the following form, then click on the "submit form" button

Personal Details  
First name
Last name
Title
Organization or institution
Postal address
Postal code
Phone
Email

Participation		  
I intend presenting a poster YesNo
I would be happy to present an oral on my poster YesNo

Lecture slots are limited and by invitation only. Please use the abstract template for posters or talks (see 'abstracts and papers' page).
Travel and Social  
I will bring an accompanying person/s YesNo
I and/or partner have special dietary requirements YesNo
   
I / we would like to travel to Club Mykonos by coach (R200 return) YesNo
   
I / we would like to go on the sunset / champagne cruise (no additional cost) YesNo
   
Please note: you can only take part in one of the following tours as they are held at the same time. Additional payment applicable and booking essential!
I / we would like to go on a wine tasting / cellar tour YesNo
West Coast tour FULLY BOOKED  

Fees
Please confirm amounts in the text block/s provided. Registration includes accommodation, programme, book of abstracts, meals, lunches, teas and all official social functions. (For accompanying persons, registration includes accommodation, meals, lunches, teas and all official social functions)
Late Academic Registration (R4 000)
Late Student Registration (R3 000)
Late Accompanying person (R3 000)
Airport transfer (R200)
Excursion (R230)
Total amount

You will receive an email shortly giving payment options and confirming your registration.