UKZN 2019 conference registration
Please ensure that you have read the registration information in the conference information pack (see
http://www.otwsa-otssa.org.za/conferences/ukzn-2019/
) before filling out this form.
* Required
Email address
*
Your email
Title
*
Mr
Ms
Prof
Dr
Rev
Other:
First name(s)
*
Your answer
Surname
*
Your answer
Institution and/or affiliation
*
Your answer
Contact number
*
Your answer
Your conference attendance
Which of the three conferences will you be attending?
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Only the OTSSA conference (R2950)
Only the SASNES conference (R1950)
Only the LXSSA conference (R1950)
All three conferences (R2950)
Which excursion would you prefer?
Option 1: Nelson Mandela Capture site, Piggly Wiggly coffee and curio shopping
Option 2: Abingdon wine farm, Nottingham Road Brewing Company
Clear selection
Will you be bringing a partner to the conference dinner on 19 September?
*
Please note the additional fee that applies.
Yes (R250)
No
What is your dietary preference for the formal dinner?
*
If you are bringing a partner, please indicate their dietary preference in the text box provided for the next question.
Beef burger
Steak
Chicken
Vegetarian
Do you have any allergies or additional requirements?
Your answer
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