; download a registration - PGS2011 REGISTRATION FORM 081210
Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out
Your Federal Quarterly Tax Payments are due April 15th Get Help Now >>

download a registration - PGS2011 REGISTRATION FORM 081210

VIEWS: 6 PAGES: 1

  • pg 1
									      POSTGRADUATE SUPERVISION CONFERENCE:18 - 21 APRIL 2011
  Please complete and return with your proof of payment BEFORE 17 January 2011 (Early) or 28 March 2011 (late) to:
                                    NELDA ROUSSEAU (POSTGRADUATE 2011 Conference)
                             POSTAL ADDRESS: P O BOX 19063, 7505 TYGERBERG, SOUTH AFRICA
    TEL: +27-21-938 9651, FAX: +27-21-933-2649, FAX2EMAIL: 086 512 6827, E-MAIL neldar@sun.ac.za

Please write in clear capital letters. Where applicable, place a cross in the appropriate block.
     Title           Prof                 Dr                    Mr                  Ms
Surname
First name

Accompanying
person
(Accompanying persons may attend social functions only if indicated below.)
                                                             Postal Address
 Organisation
 Address:


          City                                                                                             ZIP/postal Code
     Telephone Number                                                                     Fax number
           E-mail
                                                                           African               African
                          International         International                                                        South African    South African
                                                                        Participants           Participants
   Registration            Participants          Participants                                                        Participants      Participants
                                                                      outside of South       outside of South
      Fees               (before 17 Jan             (before                                                         (before 17 Jan       (before
                                                                           Africa                 Africa
                              2011)               28 Mar 11)                                                            2011)           28 Mar 11)
                                                                     (before 17 Jan 11)     (before 28 Mar 11)
  Full conference
    (Excluding          R5 500.00          R6 000.00                     R2 350.00                 R2 750.00            R3 300.00       R3 850.00
    Workshop)
 Conference Day
   Registration
                        R2 200.00          R2 700.00                      R900.00                  R1 100.00            R1 300.00       R1 800.00
    (Excluding
   Workshops)
      Full day
     Workshop           R2 650.00          R2 900.00                     R1 200.00                 R1 600.00            R1 450.00       R1 900.00
      18/04/11
      Half day
    Workshops            R1350.00          R1 500.00                      R 600.00                 R 800.00             R 750.00        R1000.00
      18/04/11
 Full day workshop (Limited to 30 attendees)                         Prof Gina Wisker
 Indicate which ½ day workshop/s you would like to                   Prof L McAlpine ½ day         Prof A Lee ½ day          Dr C Manathunga ½
 attend (Limited to 30 attendees per workshop)                       (Morning of 18/04)            (Morning of 18/04)        day (Afternoon 18/04)
    Indicate Day Conference
            Attendance
                                     Tue 19 Apr                 □     Wed 20 Apr         □ □         Thu 21 Apr         □ □

    Indicate Meal Preference
  (All meals are Halaal Friendly)
 Please note that a surcharge of R220 per day will be charged for Strictly Halaal or Kosher meals (ordered in)
                                                                      Social Events
                                                                                                          No of people                 Total
                  Date                                               Event
                                                                                                           attending
        Opening function                       (Cost included in delegates registration fee)
       Monday 18 April 11                           Accompanying persons R200.00
       Conference dinner                                Delegates fee = R350.00
      Wednesday 20 April 11                         Accompanying persons R450.00
                                                    Please indicate method of payment:
Cheque                                □                                                  Account details for direct transfers:
Bank transfer                      □                                             Name of account: Postgraduate Supervision
Credit card facility available to online registrations only                      Name of bank:    ABSA BANK, PAROW
                                                                                 Branch Code:     50 21 10
                                                                                 Account no:      9177 400 152
Signed:                                                                          Date:

								
To top