South African Transplant Society
Membership Update Form

Please Note:
Membership of the Society is conditional upon members accepting to practice according to the policy and statement of the Transplantation Society.

Please click here to view the Ethics Policy.

Please complete the form below.

Title:    
First Name: Last Name:
Qualifications: HPCSA No.:
Specialty: Institution / Company Name:
Position / post / job title: Department:
Account to:    
Postal Address: Telephone:  
City: Fax:  
Province/State: Cellphone:
Zip/Post Code: *E-Mail:
*Verify E-Mail:
Country: Website:
Notes (if any):

SATS and TTS Membership Fees for 2015:

Category
Amount
 
Total
Full SATS ONLY Membership 2015
ZAR 500.00
Full SATS and TTS Membership 2015:
ZAR 2075.00
SATS Trainee / Associate ONLY Members 2015:
ZAR 500.00
Trainee / Assoicate SATS and TTS Membership 2015:
ZAR 1036.00
Total:

PAYMENT DETAILS

Please select your payment option below.

Option 1
Bank Transfer
Account Name:Turners Conferences - SATS
Bank:First National Bank
Account No.:62315871732
Branch Code:221426
(Please state SATS followed by your name, on your bank transfer for fund tracking purposes)
Option 2
Credit Card
Please complete the following authorisation for Congress Organisers to debit your credit card.
A clear photocopy of both sides of the credit card is required for bank approval and verification

TOTAL AMOUNT:
Credit Card Type:
Credit Card Number
Expiry Date
Cardholder's Name
3 Digit no. on reverse side where applicable

Deposit directly into SATS account, giving your initials and surname as reference, and fax the deposit slip together with this completed
membership form to our secretariat Turners Conferences: 031 368 6623.
For membership enquiries contact Sharon Beeming SharonB@turnerssecretariat.co.za or phone 031 368 8000.

Type this number into the box alongside: