PERSONAL DETAILS
Surname
Required
First Names
Title
Position
COMPANY DETAILS - Please complete in full for invoicing purposes
Company/Organisation
Required
Company VAT
Registration Number
Order Number
Postal Address
Required
Postal Code
Tel Number
Country Code
(Area Code) & Number Required
Fax Number
(Area Code) & Number
Mobile Phone
Number
E-mail address
Required
Confirm E-mail address
Required
Specify any special dietary requirements
Are you an NLA Member?
YES
NO
Required
Are you presenting a paper?
YES
NO
Required
Are you presenting a poster?
YES
NO
Required
Are you an exhibitor?
YES
NO
Required
CONFERENCE ATTENDANCE
Conference dates are 25 to 27 August 2008. All prices EXCLUDE 14% VAT. Registration includes attendance at all presentations, the exhibition, tutorials, tea/coffee and lunch.
Dinners are only included in the Full Package and 3 Day Conference Package.
Presenters (No Accommodation)
Silver Registration - Abstract received by 15/04/2008 R1,980
Gold Registration - Manuscript received by 30/06/2008 R990
Poster submissions
R1,980 (For submission details please contact the organisers)
Exhibitors
One full 3 day Conference package per stand at no charge (Accommodation is excluded)
Packages
NLA Members (per person)
Non NLA Members (per person)
Full Package (Incl. 3 nights accommodation)
R6,300
R7,000
3 Day Conference Package (Dinner included)
R3,960
R4,400
Daily Package (Dinner excluded)
R1,980
R2,200
Select the PACKAGE you require
Select a Package
Full Package (Incl accommodation)
Three Day Package (Excl accommodation)
Daily Package (One Day)
Daily Package (Two Days)
Daily Package (Three Days)
Presenters Package
Exhibitors Package
Poster Submissions
Required
Indicate which CONFERENCE DAYS(s) you will attend
Monday 25/08
Tuesday 26/08 Wednesday 27/08 Required
Indicate which days DINNERS you will attend (Only applicable to 3 day & full packages)
Sunday 24/08
Monday 25/08 Tuesday 26/08
PAYMENT
A reference number will sent via email
after this form has been
submitted. Please use this
reference number when making
a payment. An invoice will be emailed to you after processing of the registration by the NLA. Payment
must be received in full to
confirm this registration. Package prices are complete and no refunds will apply for non-attendance.
Multiple attendances on a single Full Conference Package will not be accepted. No exceptions will be made.
CANCELLATIONS
No refunds will be entertained. Registration can be transferred to an alternate delegate for a 10% substitution fee.
Thank you for taking the time to register!