ATTENDEE TYPEOphthalmologist (with priv.practice / part time priv.practiceOphthalmologist in full time post (no private practice)Medical OfficerRegistrarNurseAssistantAdministrator / ManagerAllied Health professionalOcularistOptometristOrthoptistOther (specify below)Non Ophthalmologist Dr (specify below)Trade Delegate (not exhibiting)Specify Non Ophthalmologist Dr / "Other" professionFirst Name *Last NameTitleID / Passport noEmail Address *PhoneAre you a member of SASCRS?1. Yes (Renew my membership if applicable R575) (ZAR)2. Unsure if I am a member (Renewal R575) (ZAR)3. I want to JOIN as a member @ R575 (ZAR)4. Non MemberAddress for tax invoiceApartment, suite, etcCityState/ProvinceZIP / Postal CodeVAT NumberAccompanying Guest (if applicable) (Registration R500 Welcome event)REGISTRATION FEE CATEGORY1a. Ophthalmologist in private practice or part time private practice SASCRS Member @ R9,200 (from 2 Oct R9,800) (ZAR)1b. Ophthalmologist in private practice or part time private practice NON member @ R10,500 (from 2 Oct R11,500) (ZAR)2a. Ophthalmologist in full time post SASCRS member (with no private practice) @ R7,200 (from 2 Oct R8,200) (ZAR)2b. Ophthalmologist in full time post NON member (with no private practice) @ R9,200 (from 2 Oct R9,800) (ZAR)3 Non Ophthalmologist Dr @ R10,500 (from 2 Oct R11,500) (ZAR)4 Accompanying guest R500 (welcome event) (ZAR)5. Trade delegate (not exhibiting) @ R34,000 (from 2 Oct R36,000) (ZAR)6. OTHER @ R4,800 (from 2 Oct R5,000) (ZAR)DAYS / PROGRAMMES you plan to attendWEDNESDAY: Pre-congress workshops (details TBA)THURSDAY: Main Academic programmeTHURSDAY: 2-day programme for personnelTHURSDAY: Welcome CocktailFRIDAY: Main Academic programmeFRIDAY: 2-day programme for personnelFRIDAY: Dinner (Details TBA)SATURDAY: Main Academic programmeSTRICT DIETARY requirement MAIN ATTENDEENONEVegetarianVeganSTRICT Halaal (cost tba)STRICT Kosher (cost tba)Food allergy (specify below)• Vegetarian options will be available • STRICT Halaal & Kosher meals may incur costs • Order meals and pay by 15 Oct • Meals not taken cannot be refundedFood allergy Main Attendee (specify if applicable)STRICT DIETARY requirement ACCOMPANYING GUESTNONEVegetarianVeganSTRICT Halaal (cost tba)STRICT Kosher (cost tba)Food allergy (specify below)• Vegetarian options will be available • STRICT Halaal & Kosher meals may incur costs • Order meals and pay by 15 Oct • Meals not taken cannot be refundedACCOMMODATION required?NO accommodation neededYES BOOK my room (indicate your room type below)I will book THE WESTIN online: https://sascrscongress.com/ALTERNATIVE HOTELS - I will visit the website https://sascrscongress.com/accommodation/I will book laterYES - BOOK MY ROOM at The Westin Cape TownR3,000 - R3,350 (ZAR) DELUXE room/nightR3,600 - R3,950 (ZAR) EXECUTIVE room/nightR3,900 - R4,250 (ZAR) WATERFRONT room/nightR4,300 - R4,650 (ZAR) GRAND DELUXE room/nightR4,900 - R5,250 (ZAR) JUNIOR SUITE /nightR5,200 - R5,550 (ZAR) EXECUTIVE SUITE /nightAccommodation for 1 or 2 guestsSingle (1x guest)Double / Twin (2x guests per room)ARRIVAL dateDEPARTURE dateAIRPORT TRANSFER required? (Cape Town International / the Westin Hotel)Not requiredYES (provide arrival & departure details)I will book laterARRIVAL details: Cape Town International AirportDEPARTURE details: Cape Town International AirportConsent *By submitting this form, you consent to being contacted via the information provided and agree to abide by all other terms and conditions of our business Send Message
