Registration Form 2015
Register Early to avoid late registration and penalty
Title
Name
Surname
Institution
Province
Telephone (Home)
Telephone (work)
Cellular Phone
Fax No
Email Address
Special Dietary requirements:
(e.g. Halaal, Vegetarían etc)
Special needs: Please specify (e.g. Wheel chair access, visually
impaired etc)
I have enclosed a cheque made out to SAASTE /made a bank deposit to cover the following: (tick appropriate
block)
Please make up your own account as follows:
Registration (non-member)
R 1300.00
Registration (member)
R 1200.00
Penalty for late registration R 50-00
Conference proceedings
R 60-00
Hostels accommodation
at R195-00 per night Refundable deposit R50-00
2015 SAASTE Membership
R100-00
TOTAL
Payment Details
Account name: SAASTE
Account no: 032924968
Bank : Standard bank
Branch code: 052852
Branch: NELSPRUIT Type: CHEQUE account
Please use your initial and surname and Province as your reference
Proof of payment
Deposit slips should be
Faxed to:
Ms Z Ngcetane (012 429 4229)
Email to
SAASTE2015@unisa.ac.za
Accommodation Arrangements (tick appropriate block)
Please arrange Hostel accommodation for the
following nights in July
6th July
7th
July
8th July
9th
July
10th July
I will arrange my own accommodation
DUE DATES FOR SUBMISSION:
Abstracts due by 31 January 2015
Final papers due by 31 February 2015
INFORMATION
Further information may be obtained from:
Ms Z Ngcetane
012 429 4589
SAASTE2015@unisa.ac.za
Ms M Madewa
083 740 8920
SAASTE2015.UNISA@gmail.com
Mr F Phalane
072 804 7975
SAASTE2015.UNISA@gmail.com