ILSI SA Workshop Registration

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

Food Innovation / Renovation: Enabling Sustainable Future Health

To register, kindly complete one form per delegate.

DELEGATE INFORMATION

Title: Last Name:
First Name: Middle Name:
Nationality: Name for Badge:
This is my: Private Address
Institution Address
   
Institution Name: Department:
Institution VAT Number: Contact Person's Name:
Address: City:
State/Province: Post/ZIP Code:
Country:
Telephone:
(Country code/city code/number)
Fax:
(Country code/city code/number)
E-Mail: Mobile/Cell Number:
SAAFoST Member: Yes /No Membership No.:
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

Accompanying Persons

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

1st Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

2nd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

3rd Accompanying Person

Title: Last Name:
First Name: Middle Name:
Nationality: Invitation Letter Required: Yes / No
Special Dietary and Other Requests:
Dietary Requests: Other Requests:

Section A - REGISTRATION FEES

Registration Fees - South African Rand (ZAR) Only (incl. 14% VAT)
Code (Office Use Only)

Registration Category
Registration Fee
No. of
Persons
Amount
SAAFoST Member / Non-member Delegate Registration:
Attending SAAFoST Congress and 1 day ILSI SA Workshop.
SAAFoST Congress Registration Fees still applicable.
1 140
Delegate Registration:
Attending 1 day ILSI SA Workshop only
1 482
ADSA Delegate Registration:
ADSA Member Attending 1 day ILSI SA Workshop only
798
DOH Dieticians / Nutritionists Delegate Registration:
DOH Dieticians / Nutritionists Attending 1 day ILSI SA Workshop only
798
TOTAL: A - ILSI SA Workshop Registration

Please Note:
  • Delegate Registration Member/Non-member: Attending SAAFoST Congress and 1 day ILSI SA Workshop - For delegates attending the SAAFoST 2015 Congress from 6-9 September 2015. This fee is applicable to delegates who have registered and paid to attend the SAAFoST 2015 Congress.
  • Delegate Registration: Attending 1 day ILSI SA Workshop - For delegates who want to attend the ILSI SA Workshop on 10 September 2015 only.
  • Delegate Registration: ADSA Member - For ADSA member delegates who want to attend the ILSI SA Workshop on 10 September 2015 only.
  • Delegate Registration: DOH Dieticians / Nutritionists - For DOH Dietitian / Nutritionist delegates who want to attend the ILSI SA Workshop on 10 September 2015 only.

What does the Registration Fee cover?
Name tag, bag with abstracts, refreshments and lunch.

Cancellation Policy:
The Congress Secretariat must be notified in writing of any cancellations. All approved refunds will be issued after the Congress. An administration fee of ZAR 400.00 will be charged for all cancellations received before 31 May 2015. Please note that no refunds will be made for cancellations after 31 May 2015.

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 ILSI SA Workshop Registration Fees
GRAND TOTAL:

PAYMENT DETAILS

Please select your payment option below.

Option 1
Bank Transfer
You must specify your name and SAAFoST 2015 on your bank transfer. Forward to:
Account Name:Turners Conferences and Conventions (Pty) Ltd - SAAFoST 2015
Bank:First National Bank
Account No.:62374322809
Branch:Durban Main Branch
Branch Code:221426
Swift No.:FIRNZAJJ762
(Please fax a copy of your transfer to Turners Conferences +27 31 368 6623)

Final date for Bank Transfer payments will be the 31 August 2015.

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
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

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

I agree that particulars provided in Section A can be passed on to Congress service providers and be published as part of the Congress Delegate List.

Yes /No

Please complete this registration and booking form and submit it to the Local Congress Organisers:

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@turnergroup.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.

Type this number into the box alongside: