Symposium Registration: 19 - 20 September 2012

Title *
First Name *
Last Name *
Organization / Institution *
Job Title
Telephone Number *
Mobile Number
Fax Number
Email *
Please indicate your registration choice/s *
 Entire symposium (Boths days including workshop) - R1200.00 
 Day 1 (19 Sept 2012) - R700.00 
 Day 2 (20 Sept 2012) - R700.00 
 Day 2, morning only (20 Sept 2012) - R400.00 
 Day 2, workshop only (20 Sept 2012) - R400.00 
 Social function (19 September at 17:00) - R100.00  
Dietary Requirements *
 None 
 Vegetarian 
 Halaal 
Other Requests
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