Full Registration

All fields marked with (*) are required.

Title*
Please specify your title
First Name*
Please fill in your First Name
Surname:*
Please fill in your Last Name
HPCSA (If Applicable)
Please HPCSA number
Country:*
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Cell / Mobile No*
Please fill in your cell number
Profession*
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Email Address*
Please fill in your email
Special dietary requirements:*


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Registration Category

Early bird fee until 31 May 2020

Pre-Congress Workshop & Full Congress 21 – 23 August 2020

Friday 21 – Sunday 23 August Workshops and Congress
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Pre-Congress Workshop 21 August 2020

Please choose only one relevant option

Fri 21 August: Workshop 1 (10:00 – 16:30)
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Fri 21 August Workshop 2 (10:00 – 16:30)
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Full Congress Only 22 – 23 August 2020

Saturday 22 – Sunday 23 August Congress Only
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Day Registration

*only applicable if you do not wish to attend the full congress
Saturday 22 August
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Sunday 23 August
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Social Functions

Saturday 22 August 2020
Delegate
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Partners and Spouses
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Payment Instructions

Workshop Total
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Full Congress Total
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Day Registration Total
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Social Function Total
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Full Total
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Payment Type*
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- Please use your surname as a reference number when submitting payment
- Please note that all bank charges are to be borne by the delegate.

BANK DETAILS
Name of Account: SASGO 2020
Bank: ABSA
Account No: 93-5121-9505
Branch code: 632005
Account Type: Savings Account
Swift Code: ABSAZAJJ

Thank you for choosing the Credit Card payment method

Once you have completed the registration and clicked on the submit button, the amount that you have chosen will be displayed as well as a field where you can enter the amount that you would like to pay.

Complete the field with your chosen amount and then click on the "Pay Now" button. Once you have clicked on the button you will be redirected to Payfast for secure online credit card transactions.

Cancellation of Registration:
Cancellations received by 15 January 2020 will carry a 50% cancellation fee. Cancellations received from 15 January 2020 will carry a 100% cancellation fee.

If you have filled in all the required fields, you can submit your registration and continue to the payment page.
   
Total Paid
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Unpaid
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Date of Payment
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