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Home > Congress > Congress Registration > Step 1/2
14TH SOUTH AFRICAN PSYCHOLOGY CONGRESS
26-29 AUGUST 2008
EMPERORS PALACE, JOHANNESBURG
REGISTRATION FORM
To be completed by all participants (Including presenters, media, guests and trade delegates)
1ST CALL FOR ABSTRACTS (20 CEU)
OPTION:
We offer two options to register for the Congress.
1. You may download the application form, fill it in and fax it to us.
Click here to download the form
* tip: right click on the link and say "save target as"
2. or preferrably, please fill in our online form below.
STEP 1 :
Personal Details
Title
Mr
Mrs
Ms
Dr
Prof
Initials
Name
Surname
HPCSA Registration Number
PsySSA Membership Number
Institution
Postal Address
Work No.
Work Fax No.
Home No.
Home Fax No.
Cell Number
Email
Fields of Interest
Bank and administration charges incurred (e.g. returned cheque, card authorization refusal) are for the participant's account. A fully completed and signed registration form guarantees registration, confirms participant's attendance and acceptance of registration conditions. Only the above-mentioned methods of payment will be accepted. Written applications for cancellation received before 1 March 2008 will be entitled to a 50% refund; thereafter no refunds shall be made. All conference venues will be on a first come first serve bases. Kindly attend alternate sessions if a venue is fully occupied.
STEP 2 :
Select Fees
Registration Fees
Late / On Site
None
PsySSA Member
R2200
Non Member applying for membership
R2500
Non Member
R4300
One Day Fee
R2200
Student Member
R1100
Intern Member
R1350
Student Member applying for membership
R1350
Intern Applying for membership
R2100
Foreign Member
*
$500
Foreign Fee
$600
STEP 3 :
Payment Details
Please select your payment option below:
EFT / Direct Bank Deposits
You may deposit directly into our bank account. The details are:
Bank: ABSA Rosebank
Branch Code: 630-805
Account: Current Account No. 40-4940-7045
Please fax or post a copy of the deposit slip together with your registration form (address above, fax number + 27-11-486 3266/77).
Cheque
Please make cheques payable to PsySSA and post together with your registration form to:
PsySSA Membership Management,
P.O.Box 989
Houghton
2041
Credit Card
If paying by credit card, please fill in the information below:
Credit Card
Credit Card:
Select Credit Card
Visa
Mastercard
Credit Card Number:
Expiry:
Cvv:
