Personal Details

Title
Diamond Sponsor
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DID YOU KNOW?

That you can pay conference registration fees by Debit Order?

CLICK HERE TO DOWNLOAD AUTHORITY AND MANDATE FOR DEBIT ORDER PAYMENT INSTRUCTIONS
First Name
Surname
Organisation
Position
Telephone
Fax Number
Email
Confirm Email
Dietary Requirement
Disability Access
SAPC P-Number

Category

Please select your category:

Company/ Organisation Details for Billing Purposes

Billing Name
Postal Address
Suburb or City
Country
Postal Code
Billing Method


Registration Details

Early Bird (register and pay before 14 October 2016) R3,450 per delegate

Standard (register and / or pay after 14 October 2016) R4,450 per delegate

One day attendance:
Friday, 21 October 2016 (half day) Early Bird:  R850 Standard:  R1,150
Saturday, 22 October 2016 (full day)    Early Bird:  R1,850 Standard:  R2,250
Sunday, 23 October 2016 (full day)  Early Bird:  R1,850  Standard:  R2,250
Monday, 24 October 2016 (half day) Early Bird:  R850  Standard:  R1,150

 

Please select your registration type
Full Conference Registration @ 4,450
Pharmacy Assistant - Full Conference Registration Early Bird @ R2,500
Intern - Full Conference Registration Early Bird @ R2,500
Retired Professional - Full Conference Registration Early Bird @ R2,200
Student - Full Conference Registration Early Bird @ R2,200
Select Day Pass
Friday, 21 October 2016 (half day) @ R1,150
Saturday, 22 October 2016 (full day)  @ R2,250
Sunday, 23 October 2016 (full day) @ R2,250
Monday, 24 October 2016 (half day) @ R1,150 
 

Social Events

Please select which social events you will attend Included in your Full Conference Registration Fee
Description Attending

Welcome Cocktail Party in the Exhibition Hall
( Additional tickets price:  R350)

Friday, 21 October 2016

Gala Awards Dinner
( Additional tickets price:  R550)

Saturday, 22 October 2016

Casual Dinner 
( Additional tickets price:  R450)

Sunday, 23 October 2016

If you are bringing an accompanying person please select the functions that they will attend from below

 

Golf day

Not Attending Golf Day


Individual Booking - Delegate

Individual Booking - Accompanying Person @ R1,150.00


Four Ball Booking


 

Fun Run

I would like to participate in the Fun Run on Saturday morning, 22 October 2016. (no cost to participate in the fun run)

 

TERMS AND CONDITIONS

  1. Access to and attendance at the conference will only be confirmed on receipt of payment.
  2. Payment is due prior to the start of the Conference. In the event of there being a limited number of delegates, preference will be given to persons who have paid their registration in full.
  3. All early bird fees must be paid by the closing date of the early bird time period (by 14 October 2016). Failure to pay the early bird fee by such date will be liable for the full registration fees.
  4. An invoice with the Conference bank details will be sent to you within 72 hours of receipt of your registration.
  5. Receipts will only be issued once proof of payment has been received, and once the payment has cleared and been identified in the Conference bank account.
  6. Proof of payment is to be emailed or faxed to Estie Dutch, estie@soafrica.com / F: 011 463 3265
  7. Please ensure that all payments make clear reference to the delegate being paid for, with their unique PIN number. (Name, Surname, PIN number). Failure to do so could result in your payment not being identified in the bank account and therefore not being receipted.
  8. All payments must be made payable to The South African Pharmacy Council.
  9. Registrations are transferable to delegates who have not yet registered.
  10. Delegates attending from countries outside South Africa are requested to make payment in South African Rands (ZAR) and are responsible to cover the full bank charges. The full delegate registration fee amount invoiced must appear in the conference bank account. Should this not be the case, the delegate will need to pay the difference in cash on site before being allowed to participate in the Conference.
  11. Online Registration will close on Wednesday, 19 October 2016.

CANCELLATIONS

  1. On completion of this application you will be liable for the full amount of the registration fees, even if you do not attend the conference, subject to the cancellation conditions below
  2. All cancellations must be received in writing by the Conference Secretariat. (estie@soafrica.com).
  3. Cancellations received before 31 August 2016 will receive a full refund, less a 10% administration fee. (or the amount of the administration fee whichever is the greater amount). Unpaid registrations will be liable to pay the 10% administration fee amount.
  4. Cancellation received between 1 September and 1 October will receive a 50% refund. Unpaid registrations will be liable to pay the value of the 50% cancellation fee.
  5. No refunds will be issued for cancellation received after 1 October 2016, and unpaid registrations will be liable to pay the full amount whether they attend the conference or not.
  6. All refunds due will only be issued after the Conference and are subject to the approval of the organising committee.
  7. Any registrations received after 1 October 2016 will not be entitled to any refund or credit, and such person will be liable for the full registration fee as per point (1) above.
  8. The Organising Committee reserves the right to decline a request for a refund.

I accept the terms and conditions of this booking
I grant the organising committee permission to supply my contact details to the trade represented at the congress


 

TOTAL DUE:

R0.00