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