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?
*
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
Submit
Never submit passwords through Google Forms.
This form was created inside of Entle.
Report Abuse
Forms