REGISTRATION AND ACCOMMODATION FORM Surname Title First name Male (M) or Female (F) DELEGATE DETAILS Institution Postal address Postal Country code Telephone Fax E-mail Cell DIETARY None Veg. Halaal Other NEEDS Indicate with X Conference Registration (Registration fee includes: conference programme and abstracts, teas/coffees, lunches including cocktail party and banquet) Please enter Amount appropriate amount in this column R Regular (due: 31 May 2017) 3200 SASA Member R Late 3500 Non-SASA Member Regular (due: 31 May 2017) 3900 R ISA Category A R Countries Late 4200 Non-SASA Member Regular (due: 31 May 2017) 3600 R ISA Category B R Late 3900 Countries R Student Regular (due : 31 May 2017) 1900 R (SASA Member) Late 2200 Student R Regular (due: 31 May 2017) 2300 (Non-SASA R Late 2600 Member) TOTAL (T1) R
REGISTRATION AND ACCOMMODATION FORM DELEGATE DETAILS Surname Title First name Male (M) or Female (F) Institution Postal address Country Postal code Telephone Fax E-mail Cell DIETARY NEEDS Indicate with X None Veg. Halaal Other Conference Registration (Registration fee includes: conference programme and abstracts, teas/coffees, lunches including cocktail party and banquet) Amount Please enter appropriate amount in this column SASA Member Regular (due: 31 May 2017) 3200 R Late 3500 R Non-SASA Member ISA Category A Countries Regular (due: 31 May 2017) 3900 R Late 4200 R Non-SASA Member ISA Category B Countries Regular (due: 31 May 2017) 3600 R Late 3900 R Student (SASA Member) Regular (due : 31 May 2017) 1900 R Late 2200 R Student (Non-SASA Member) Regular (due: 31 May 2017) 2300 R Late 2600 R TOTAL (T1) R
SASA_2017_-_Registration_.docx