Dermatology 2018
Transfer Booking Form

IMPORTANT: Please click here if you're travelling to South Africa with your Child / Children

To register, kindly complete one form per delegate.

DELEGATE INFORMATION

*Title: *Last Name:
*First Name:
(for badge)
Middle Name:
Nationality: Gender:
Invitation Letter Required: Yes / No
Do you agree that your name and email address can be given to sponsors of the congress: Yes / No
*Organisation/Institute/Trust: *Position:
This is my:
(please select)
Private / Institution    
Address: City:
State/Province: ZIP/Post Code:
Country:
Work/Business Telephone Number:
(Country code/city code/number)
Fax:
(Country code/city code/number)
*E-Mail: *Verify E-Mail:
Mobile/Cell Number:
SAAFoST member Yes / No Membership no.
Special Dietary Requests: All meals provided are Halaal. Kosher meals can be arranged at an extra cost (price on application).
Vegetarian: Yes / No / Other If other, specify:
Other Requests
Other Special Requests:
(Please specify any access needs you have e.g. wheelchair user, mobility difficulties, hearing impaired etc.)
   

*Compulsory fields.

Accompanying Persons

Please complete the information below for accompanying person(s).

1st Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality:    
Vegetarian: Yes /No /Other If other, specify:
Other Request:    

2nd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality:    
Vegetarian: Yes /No /Other If other, specify:
Other Request:    

3rd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality:    
Vegetarian: Yes /No /Other If other, specify:
Other Request:    

A - AIRPORT TRANSFERS

If you would like to book transfers between King Shaka International Airport and the appointed accommodation in the City Centre, please fill out the details below. A pre-booked and pre-paid transfer costs R345.00 per person, one way. Transfers not paid in full by the 8 August 2018, will be cancelled automatically. These will need to be re-booked with full payment to secure the services.

Transfer Date
Pick Up Point
Flight No.
Flight Arrival or Departure Time
Drop off Point
Arrivals Hall
(International or Domestic)
No. of people
TOTAL
King Shaka Int. Airport
King Shaka Int. Airport
TOTAL: C - Airport Transfers

Arrival Airport Information:
On arrival at King Shaka International Airport, collect your luggage and proceed to the main arrivals hall. Look out for a representative from Aqua Tours & Transfers who will be holding a board with your name on it. Should you encounter problems locating the Meet and Greet representative, please call the contact numbers available on your transfer voucher.

Cancellation policy:
All transport is subject to Turners and their appointed service providers' terms and conditions. Once confirmed, transfers will be subject to a 100% (percent) cancellation fee if cancelled within 48 hours of the service date, without reasonable cause or beyond the delegates' control i.e. flight delay or cancelled flight.
An amendment fee of R228.00 applies to all changes made to confirmed reservations. The above conditions apply unless otherwise specified in writing.

TOTAL AMOUNT PAYABLE

I, the undersigned, do hereby authorise Turners Conferences to debit my credit Card for the following amounts:
(please fax a copy of the front and back of your credit card to Turners Conferences)

A Airport Transfers
GRAND TOTAL:

PAYMENT DETAILS

Please select your payment option below.

Option 1
Bank Transfer
You must specify your name and Dermatology 2018 on your bank transfer. Forward to:
Account Name:Turners Conferences and Conventions Pty Ltd
Bank:ABSA Bank
Account No.:4060455419
Branch:KZN Business Banking
Branch Code:632005
Swift No.:ABSA-ZA-JJ
(Please fax a copy of your transfer to Turners Conferences +27 31 368 6623)
Final date for Bank Transfer payments will be the 27 August 2018.
When processing your payment by bank draft please allow additional funds to cover bank charges. If short payments are received they will be for your account.
Option 2
Credit Card
When opting to process payment by credit card, further instructions will be emailed advising on how to process payment via the online 3D PayGate Portal. A unique reference number will be issued to you.

Please complete this booking form and submit it to the Turners Conferences:

Turners Conferences and Conventions (Pty) Ltd
PO Box 1935, Durban, 4000 South Africa
Telephone: +27 31 368 8000
Fax: +27 31 368 6623
Email: Gills@turnersconferences.co.za

All transactions are conducted in terms of Turners Conferences standard conditions of trading. They are published on the Turners Conferences website & available on application.
Without the complete documents, we are unable to process your booking.

Your booking will only be confirmed once payment has been received.

All published prices are subject to change without prior notice. This may be due to currency regulations and/or changes in duties or taxes.

Type this number into the box alongside: