Perinatal Priorities – Conference Registration Conference Registration - Perinatal Priorities - 2020 Registration for the 39th Priorities in Perinatal Care Conference – Indaba Spa and Conference Centre, Gauteng, 3-6 March 2020. REGISTRATION CLOSES 28 FEBRUARY 2020. Delegate InformationSurname*Title*Initials*First name and surname* First Last This will be used for your name badge. Corrections cannot be made afterwardsApplicable number for attendance and CPD certificateComplete the applicable numberMP numberSANC numberInstitution*Cell number*for SMS communicationEmail address or Fax number*If no email, please provide fax numberPresentations: Abstract submissions deadline 3 February 2020If you will not be submitting an abstract, please skip, otherwise check applicable option. Online form submissions will be available as usual.Abstract typePosterOral PresentationPresentation titleDo you want to apply for a bursary?YesNoPlease tick the applicable option. If yes, the guidelines will be e-mailed to you (only presenters)Flying delegatesFlights can be booked into OR Tambo airport. Bus transfers will be provided for flying delegates; please forward your flight details asap. We understand that it will not be available at present. Bus transfer cost: R500 per personWill you need bus transfers from OR Tambo or Lanseria airport?Yes - OR TamboYes - LanseriaNoCost R500. Please forward your flight details at your earliest convenience so that the transfer can be arranged.AttendanceWill you be a full or day delegate?*Full Delegate (not sharing)Full Delegate (sharing)Day DelegateFull Delegate Pricing Single accommodation: R8700 Sharing accommodation: R7200 If you want to bring a non-conference attending person with you, please contact us at firstname.lastname@example.org for a breakdown of rates (accompanying person)I plan to share with*Day Delegate attendance* Tue 3 March 2020 Wed 4 March 2020 Thu 5 March 2020 Fri 6 March 2020 Includes conferencing, lunch and tea(s). Registration and attendance for 1 day as day delegate R2668 OR Registration and attendance for 2 days as day delegate R3135 OR Registration and attendance for 3 days as day delegate R3603 OR Registration and attendance for 4 days as day delegate R4070 Breakfast can be provided at an additional charge for day delegates (R180 per person per day) Dinner can be provided at an additional charge for day delegates (R250 per person per day including a soft drink)Day Delegates - Add breakfast and dinner?*Breakfast required - please invoiceDinner required - please invoiceBreakfast AND Dinner required - please invoiceNot requiredRate excludes breakfast and dinner - if breakfast and/or dinner is required, please indicate for invoice purposes - breakfast is R180 per person per day, and dinner is R250 per person per day including a soft drinkFood preference*NoneVegetarianHalaalHalaal incurs a surcharge of R1800 per full delegate (If you are a day delegate we will provide you with a breakdown)I need an invoice*YesNoWe are no longer sending out automated invoices. If you require an invoice one will be generated for you.Invoice name and address*Provide the full name and address that we should make the invoice out toI'm not sure what to pay, please send me a breakdown of the costs*YesNoBank DetailsAccount Name: Priorities in Perinatal Care Bank & Branch: ABSA, Centurion Cheque Account Number: 4051977046 Branch Code: 630445 SWIFT Code: ABSAZAJJ The Priorities in Perinatal Care Association is registered as a public benefit organisation (PBO no: 930023314), registered non-profit organisation (148-351NPO) – tax reference number: 9022/514/17/9 and is not registered for VAT. Please click SUBMIT only once and wait for confirmationNameThis field is for validation purposes and should be left unchanged.