All fields marked with (*) are required.

Title*
Please specify your title
First Name*
Please fill in your First Name
Surname:*
Please fill in your Last Name
HPCSA (If Applicable):
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Cell / Mobile No*
Please fill in your cell number
Profession*
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Email Address*
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Special dietary requirements:


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PRE-CONGRESS WORKSHOP - Wits Medical School
Saturday 11 - Sunday 12 September 2021

Teaching & Learning workshop
(inclusive of both days):
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FULL CONGRESS REGISTRATION FEES
Monday 13 - Thursday 16 September 2021

Would you like to register for a specific day(s) only?
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Non-Member:
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PSSA/AAPS Members:
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Students:
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DAY REGISTRATION - Excluding Workshops

Would you like to register for a specific day(s) only?

Day Monday, 24 August:

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Tuesday, 25 August:

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Wednesday, 26 August:

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Thursday, 27 August:

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SOCIAL FUNCTIONS

Cocktail function - Monday, 13 September:
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Gala Dinner - Wednesday, 15 September:
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PAYMENT INSTRUCTIONS

Workshop Total
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Full Congress Total
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Day Registration Total
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Social Function Total
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Full Total
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Currency Converter:
Please use the currency converter below to convert your US$ amount to ZAR. When paying, please use the ZAR amount for payment.

Payment Type*

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- Please use your surname as a reference when submitting payment
- Please note that all bank charges are to be borne by the delegate.

BANK DETAILS
Name of Account: PSSA 2021
Bank: ABSA
Account No: 93 5340 6330
Branch code: 632005
Account Type: Savings

Thank you for choosing the Credit Card payment method

Once you have completed the registration and clicked on the submit button, the amount that you have chosen will be displayed as well as a field where you can enter the amount that you would like to pay.

Complete the field with your chosen amount and then click on the "Pay Now" button. Once you have clicked on the button you will be redirected to Payfast for secure online credit card transactions.

Cancellation of Registration:
Notice of cancellation must be given in writing to This email address is being protected from spambots. You need JavaScript enabled to view it.
Any cancellations received after this date will result in a 100% cancellation fee.
Any cancellations received after the 1st of July will result in a 100% cancellation fee.

Anti-Spam*
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If you have filled in all the required fields, you can submit your registration and continue to the payment page.
   
Total Paid
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Unpaid
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Date of Payment
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Notes to Organiser
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