UKZN 2019 conference registration
Please ensure that you have read the registration information in the conference information pack (see before filling out this form.
Email address *
Title *
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? *
Which excursion would you prefer?
Will you be bringing a partner to the conference dinner on 19 September? *
Please note the additional fee that applies.
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.
Do you have any allergies or additional requirements?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Entle. Report Abuse