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 SASOP 2010 Registration

 

Please complete the following and return with your credit card details or payment to the Congress Secretariat on fax: +27 11 768 1174

Personal Details

Title:
First name *
Surname: *
Telephone number (w): *
Fax number (w):
Cellphone: *
E-mail Address: *
HPCSA number: *
Postal Address:
 
Postal code:
Special meal requirements:
If other specify

Partner / Spouse

Title:
First Name:
Surname:
   

Registration Categories Early Registration by 30 August 2010 Late Registration From 01 September 2010
     
Specialist    
SASOP Members R2 500.00 R3 000.00
Non SASOP Members R3 000.00 R3 500.00
     
Registers    
SASOP Members R1 500.00 R2 000.00
Non SASOP Members R2 000.00 R2 500.00
     
Others    
(Mental health workers, nurses, psychologists, social workers ect) R1 500.00 R2 000.00
     
Pre Congress Workshop(16 Oct)    
a) Neurology skill for psychiatrists R 250.00 R 450.00
b) Psychiatric disability assessment R 250.00 R 450.00
c) Mental health and Megabytes R 250.00 R 450.00
d) HIV in Africa: its impact on mental helath R 250.00 R 450.00
     
Trade    
Trade (x2 free registrations per stand) R 00.00 R 00.00
Trade (additional delegate) R1 000.00 R1 200.00
     
Gala dinner R 300.00  
Partner / Spouse    
Cocktail function R 200.00  
Gala dinner R 400.00  
Total Fee

Method of Payments
 
Name of Account: SASOP Eastern Cape Subgroup Congress 2010
Branch: FNB (First National Bank)
Account number: 62199986830

Click here to download Registration form
Website last updated 05/05/2008
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