Should you require financial assistance please complete the following details here. The grant will cover the conference registration fee and economy flights. Accommodation will be for your own account.

Please ensure you submit an abstract here in order for your application to be considered.

Title
First Name * Surname *
Address City *
Country *
Postal Code HPCSA No
Tel Profession / Interest
Mobile Email Address *
Registration Type * Fax
Attending    
If attending on a daily basis please state day/s:
(press and hold "Ctrl" on your keyboard to click multiple days)
   

 

REGISTRATION FEES Before 9 August After 9 August
South African and African Countries    
Doctors R 4100 R 4400
Doctors Daily R 1850 R 2000
PAM R 3300 R 3450
PAM Daily R 1600 R 1800
Nurses R 3300 R 3450
Nurses Daily R 1600 R 1800
Non-health care practitioner / Researcher R 4100 R 4400
Non-health care practitioner / Researcher Daily R 1850 R 2000
     
International    
Doctors R 5150 R 5400
Doctors Daily R 1900 R 2100
PAM R 4150 R 4650
PAM Daily R 1500 R 1700
Nurses R 4150 R 4650
Nurses Daily R 1500 R 1700
Non-health care practitioner / Researcher R 5150 R 5400
Non-health care practitioner / Researcher Daily R 1900 R 2100
     
     

All fees include VAT

Full conference fee includes teas, lunches, registration material & cocktail function
Daily fee includes teas, lunches, registration material

 
SOCIAL PROGRAMME:    
  Attending Number
Cocktail Reception    
3 October
Included in full conference fee
Elangeni Hotel
 
Daily Delegate & Partners Fee: R350 per person
     
DIETARY REQUIREMENTS  

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 Fees: R
Cocktail Function: R
Total Fees: R
* denotes a required field

 

PAYMENT INFORMATION:

  • Bank deposits/Internet Transfers: Please see banking details below and email proof of payment to conference1@onscreenav.co.za
  • Cheques: Please see account name and address below. No foreign cheques.
  • Postal orders and travellers cheques will NOT be accepted.
  • The completed registration form together with the relevant payment must be received no later than 3 June, in order to benefit from the reduced early registration fee.
  • Please ensure that the name of the participant is stated on the bank transfer.
  • Bank charges are the responsibility of the delegate and should be paid at source in addition to the registration fees.
  • Registration will only be valid upon receipt of the full payment by the registration department according to the deadline indicated.
  • 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

Banking Details: ABSA Bank; Claremont Branch; Branch Code: 632005; Account Name: Conference 3, Account Number: 9261 805 551

CANCELLATIONS: Cancellations should be e-mailed to Bridget de Beer (details below). Before 1 July 15% cancellation fee applies. Thereafter 100% cancellation fee applies.

PLEASE RETURN THIS FORM TO: Bridget de Beer, Onscreen Conferences & Events, 604 Premier Centre, 451 Main Rd, Observatory 7925, Cape Town, South Africa Cell 061 313 1090 / Tel: +27-21 486 9111 / Fax: +27-21-448 7694 / Email: conference1@onscreenav.co.za

CREDIT CARD:

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

DISCLAIMER
South African Burns Society 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.