Please click here to download the registration form

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


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REGISTRATION FEES - EARLY REGISTRATION - Until 31 May 2020

FULL CONGRESS (25 – 26 JULY 2020)

Full Congress

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DAY REGISTRATION FEES (SATURDAY 25 JULY 2020 ONLY)

Saturday 25 July 2020

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DAY REGISTRATION FEES (SUNDAY 26 JULY 2020 ONLY)

Sunday 26 July 2020

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WELCOME COCKTAIL FUNCTION (SATURDAY 25 JULY 2020)

Delegate Cocktail function:
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Partner / Spouse for social functions only:
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PAYMENT INSTRUCTIONS

Workshop Total
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Full Congress Total
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Day Registration Total
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Social Function Total
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Full Total
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Payment Type*
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- 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: AfCNP 2020
Bank: ABSA
Account No: 9350 9504 67
Branch code: 632005
Account Type: Savings

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:
Notice of cancellation must be given in writing. .
Any cancellations received before 20June 2020 will be charged a 50% cancellation fee.
Any cancellations received after this date will result in a 100% cancellation fee

Anti-Spam*
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If you have filled in all the required fields, you can submit your registration and continue to the payment page.
   
Total Paid
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Unpaid
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Date of Payment
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Notes to Organiser
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