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:*
Invalid Input
Cell / Mobile No*
Please fill in your cell number
Profession*
Invalid Input
Email Address*
Please fill in your email
Special dietary requirements:*




Invalid Input

REGISTRATION FEES
Late Registration From 16 January 2020

PRE-CONGRESS WORKSHOPS (Thursday 12 March)

Thursday 12 March Workshops:
Invalid Input
Invalid Input
Invalid Input

FULL CONGRESS - excluding workshops

Thursday 12 March - Sunday 15 March - excluding workshops:


Invalid Input

 

DAY REGISTRATION - excluding workshops

Friday 13 March:


Invalid Input
Saturday 14 March:


Invalid Input
Sunday 15 March:


Invalid Input

Exhibitors qualify for 2 free registrations per stand. Table exhibitors qualify for 1 free registration. All registered exhibitors qualify for complimentary access to the welcome cocktail function.

Additional trade delegates pay R2700.00 p.p. Trade delegates pay R400.00 p.p for the congress dinner.

SOCIAL FUNCTIONS
Opening Cocktail Function - Thursday 12 March

Please note that the cocktail function is complimentary
Delegate
Invalid Input
Partners and Spouses
Invalid Input

Congress Dinner - Saturday 14 March

Please note that the dinner is subsidised by the congress and includes a 3-course menu, beverages & entertainment
Delegate
Invalid Input
Partners and Spouses
Invalid Input
Title
Please specify your title
Partner Name
Invalid Input
Partner Surname
Invalid Input

 

--------------------------------------------------------

Registration Totals

Workshop Total
Invalid Input
Full Congress Total
Invalid Input
Day Registration Total
Invalid Input
Social Function Total
Invalid Input
Full Total
Invalid Input

Payment Options

Payment Type*

Invalid Input
Invalid Input
Should you require a TAX INVOICE for payment made by a third party please complete the following:
Name of Institution
Please let us know your name.
Address
Please let us know your message.
VAT Number
Invalid Input
Contact Person
Name
Invalid Input
Telephone Number
Invalid Input
E-mail address of person responsible for payment:
Please let us know your email address.
- 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: NASA 2020
Bank: ABSA
Account No: 93-5007-4914
Branch code: 632005
Account Type: Savings Account

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 31 January 2020 will carry a 50% cancellation fee. Cancellations received from 1 February 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
Invalid Input
Unpaid
Invalid Input
Date of Payment
Invalid Input
Invalid Input
Anti Spam*
Invalid Input