]

Sunday 2 July – Wednesday 5 July 2017

Hosts: South African Sociologial Association and Sociology (Mafikeng)

Venue: Central Lecture Block (CLB), Mafikeng Campus.

Pease complete the registration form and submit it to: u will receive an invoice within 48 hours providing payment details. Please e-mail the proof of payment to the above e-mail address.

The registration form can also be downloaded at:

The Local Organising Committee of SASA 2017 undertakes to keep information supplied confidential and to use it only for registration purposes.

Please note:

  • The registration is not transferable and this form pertains only to conference registration.
  • Only e-mailed registration forms will be accepted.
  • Each delegate has to complete a registration form. The same fee structure applies for accompanying person(s).
  • Conference registration is entirely separate from SASA membership. While a reduced conference fee is available to paid-up, current SASA members, payment for membership and for registration is made into different bank accounts. Ensure that your SASA membership is paid and updated before registration in order to qualify for a reduced fee. Please visit for membership details.
  • Once you have submitted the registration form, the North West University will generate an invoice with payment details. Your registration will only be complete once you provide us with proof of payment.
  • Full-time students have to e-mail proof of university registration with the Congress registration form.
REGISTRATION AND ACCOMMODATION FORM
DELEGATE DETAILS
Surname / Title
First name / Male (M) or Female (F)
Institution
Postal address
Country / Postal code
Telephone / Fax
E-mail / Cell
DIETARY NEEDS Indicate with X / None / Veg. / Halaal / Other
Conference Registration
(Registration fee includes: conference programme and abstracts, teas/coffees, lunches including cocktail party and banquet)
Amount / Please enter appropriate amount in this column
SASA Member / Regular (due: 31 May 2017) / 3200 / R
Late / 3500 / R
Non-SASA Member
ISA Category A Countries / Regular (due: 31 May 2017) / 3900 / R
Late / 4200 / R
Non-SASA Member
ISA Category B Countries / Regular (due: 31 May 2017) / 3600 / R
Late / 3900 / R
Student
(SASAMember) / Regular (due : 31 May 2017) / 1900 / R
Late / 2200 / R
Student
(Non-SASA Member) / Regular (due:31 May 2017) / 2300 / R
Late / 2600 / R
TOTAL (T1) / R

FEES (for those attending only specific days of the Congress)

Daily Rates / Monday / Tuesday / Wednesday / Total
SASA Member (R 1400/Day) / R
Non-SASA Member (R1650/Day) Category A& B / R
Student SASA Member (R900/Day) / R
Student Non –SASA Member (R1000/Day) / R
Late registration (above fee plus R100) / R
TOTAL (T2) / R

GUEST / OPTIONAL SOCIAL FUNCTIONS

Please note: The cocktail party and banquet dinner are included in the conference fee of delegates registering for the entire Congress. Delegates paying a daily rate or delegates bringing a guest have to pay this in addition. / SUBTOTAL
3 June 2017 / Cocktail party (to bring guest/day delegate) R 310.00
4 June 2017 / Banquet dinner (to bring guest/day delegate)R 600.00
TOTAL (T3)

RESIDENCE ACCOMMODATION – North West University Residences(for private accommodation around Mafikeng, go to for more info)

The residence daily rate is stated below, per student per night, as per the three categories (please note that residence bedrooms do not have servicing, and will have communal/shared bathrooms)

Days / Daily Rate: R 199-00 per person per night without bedding.
R 399-00 per person per night with bedding.
R 450-00 per person per night with bedding and breakfast.
Please enter amount in this column for selected option and day/s:
Friday* / R
Saturday* / R
Sunday / R
Monday / R
Tuesday / R
Wednesday / R
Total (T4) / R______

*only applicable for Doctoral students attending the doctoral workshop

GRAND TOTAL AMOUNT DUE (T1 + T2 + T3+ T4)

Cancellation policy:No refund is given unless notification of any cancellation is received in writing. A cancellation levy of 40% is levied up to 7days of the booking. Cancellations received within 4 days prior to arrival, incur a levy of 50% of the booking charge. No refunds are given for cancellations on or after arrival date. An admin fee of 10% is levied for all cancellation done before the 7 days.

I agree that the above information is true and accurate.

Signed by Date

PAYMENT OPTIONS
1. CREDIT CARD PAYMENT (Please provide details)
Card Number
Type of Card (Indicate with X) / VISA / MASTERCARD
m / m / y / y
Expiry Date / Last 3 digits on back of card
2. BANK TRANSFER PAYMENT (North West University Conference)
Bank name: Standard Bank / Acc. name: SASAcongress2017
Account Number: 030876052
Branch: Mafikeng / Branch Code: 050040
Swift Code: SBZAZAJJ
Please cite reference as follows: M (Space) 3P00377 (Space) 5612(YourSurname)
(numeric 00 in the reference code)
Send Payment Confirmation to:
INVOICE - Please complete below if invoice is required
Surname / Title
First name
Organisation
Postal address
Country / Postal code
Telephone / Fax
E-mail / Cell
VAT Number

Please submit completed form to