1st ANNUAL SAAFoST KZN SYMPOSIUM

REGISTRATION FORM

Please print and return by e-mail

DATE : Thursday, 30 October 2014

TIME : 08:15 (07:30-Registration)

VENUE: Durban University of Technology (Ritson Campus),

Hotel School

PARTICIPANT INFORMATION

Title : ______£ Prof. £ Dr. £ Mr. £ Ms. £ Mrs.£ other:______

Surname : ______

First Name : ______

Organisation : ______

Address : ______

Postal code : ______City : ______

Country : ______

Telephone : ______

Fax : ______E-mail:______

Dietary Requirements :

£ Halaal £ Vegetarian £ Kosher

REGISTRATION FEE

Registration fee includes registration, programme and book of abstracts, lunch, teas and a cocktail dinner.

Payment by : / South African Rands (ZAR):
Registration / 17 October 2014 / R250-00

PAYMENT INFORMATION

Payment of the registration fees should be made to the following account:

Name of Bank : Standard Bank

Account Name : Durban University of Technology

Account Number : 050505416

Branch Code : 04012600

Reference : FFDS 301374

Please email proof of payment to Sohana Ranglal at