On-Line Registration






Contact Information          
Name #      
Surname #      
Professional Status # Student Category  
Affiliation #  
Address1 #  
Address2 #  
City # Country #
Code # Cellphone #
Telephone # Dietary Requirements #
E-mail #      
Accompanying Persons Name        
# = required field          
         

Submission Preference (please tick off)

 

Tentative Title(s) of Abstract(s)

Registration: Conference (15-18 April 2019)
Registration fees include lunch, refreshments, welcoming- and poster sessions:
Description   Before
31 Oct 2018
After
31 Oct 2018
       
Student (banquet excluded)  
Regular / Full Participant (banquet included)  
Stellenbosch University Students / Personnel (banquet excluded)  
Young Scientitsts from developing Countries (<32 years) (banquet excluded)  
Accompanying Persons (banquet included)  
       
    Total: R0 Total: R0
                                                          

Conference day delegate registration
Tick off below only if you are attending 1 day
Description Date of Attendance   Amount
<April 2019>
SunMonTueWedThuFriSat
31123456
78910111213
14151617181920
21222324252627
2829301234
567891011
Student (banquet excluded)    
Regular / Full Participant (banquet included)    
       
      Total: R0

Exhibitor registration
Registraion fees include lunch, refreshments, banquet, welcoming- and poster session
Description Before
 31 Oct 2018
After
31 Oct 2018
     
2 Delegates full conference registration (banquet included)
     
Total: R0 Total: R0

Welcoming- & Poster Session / Conference Banquet
Description Attending Amount
     
Welcoming Meet & Greet / Registration Session:
Monday, 15 April 2019, Refreshments will be served
Free of charge
Poster Session:
Refreshments will be served
Free of charge
*Conference Banquet Ticket:
Wednesday, 17 April 2019, Time: 19:00
R500
     
    Total: R0
     
*Fees are included for regular participants and accompanyings persons, extra tickets for spouses is R500 per person.    

Method of payment
I will pay by credit card (Master or Visa)
Please complete credit card authorization form and e-mail it to aef2@sun.ac.za
GRAND TOTAL: R0
I have remitted the total amount from my bank
Bank transfer detail:
Account name: The Macromolecular Society of SA (MSSA)
Address of bank: ABSA, Plein Street, Stellenbosch 7600 South Africa
Account number: 4-1019-0621
Bank/Sorting Code: 632005
Swift Code: ABSAZAJJ
Please e-mail deposit slip to: aef2@sun.ac.za

 

Cancellation Policy
Registrations cancelled more than 60 days before the event will be refunded 80%, less than 60 but more than 30 days before the event will be refunded 50%, less than 30 days before the event will not be eligible for a refund.

Additional Information, (please tick off)
 Please send me an invitation letter

Flight/Accomodation Detail
Arrival Date
<April 2019>
SunMonTueWedThuFriSat
31123456
78910111213
14151617181920
21222324252627
2829301234
567891011
Departure Date
<April 2019>
SunMonTueWedThuFriSat
31123456
78910111213
14151617181920
21222324252627
2829301234
567891011
Arrival flight Number Departure Flight Number
Arrival Time Departure Time
Name of Accommodation    



For further information contact Aneli Fourie: Conference Secretary
Tel: +27(21)808-3174; Email: aef2@sun.ac.za

home I Chemistry & Polymer Science I Designed by Johan Brand: IT Division