Polychar 22: World Forum on Advanced Materials
7 April 2014 (Short Course), 8 - 11 April 2014 (Conference)
Stellenbosch, South Africa
Welcome to the POLYCHAR 22 Short Course & Conference Registration.

Please complete the contact information and the applicable registration details below.

Contact Information

Name #
Surname #
Professional Status #
Student (PhD/MSc/Postdoc)
Affiliation #
Address #
City #
Country #
Code #
Fax #
Telephone #
Cellphone #
E-mail #
Dietary Requirements i.e. Halaal/Vegetarian #
# = required field  

Submission preference (please tick off):

         
     

Select the session

Tentative Title(s) of Abstract(s)

Registration: Short Course (Monday, 7 April 2014) Free for lecturers
  Description

Before
30 Nov

After
30 Nov

Students

R1000

R1000

Regular

R1400

R1400

  Total 1 R

Registration: Conference (8-11 April 2014)
Registration fees include lunch, refreshments, welcoming- and poster sessions:
  Description

Before
30 Nov

After
30 Nov

Students  (banquet excluded)

R2000

R2000

Regular / Full Participants  (banquet included)

R4000

R4500

Stellenbosch Personnel / Students  (banquet excluded)

R2500

R2500

Young Scientists from Developing Countries  (< 32 years) (banquet excluded)

R2500

R2500

Accompanying Persons  (banquet included)

R2500

R3000

Conference Banquet  (transport included)

R500

R500

  Total 2 R

Welcoming- & Poster Session / Conference Banquet
  Description

Number of Persons attending

Amount

Welcoming/Registration Session:
Monday, 7 April 2014, Time: 16:00-18:00, Refreshments will be served

Free of charge

Poster Sessions:
Tuesday, 8 April 2014 & Wednesday, 9 April 2013, Refreshments will be served

Free of charge

*Conference Banquet (venue will be confirmed):
Date: Thursday, 10 April 2014, Time: 19:00

 

*For regular/full participants: included in registration fee, for spouses: R500 per person

Cancellation Policy
A 50% refund is applicable to cancellations made before 31 January 2014. The Organizing Committee regrets that no refund on cancellation is possible after this date.

Method of Payment

GRAND TOTAL (1-2) R
I will pay by credit card (Master or Visa)
Please complete credit card authorization form and fax it to:  +27(21) 808-4967  
I have remitted the total amount from my bank
Bank transfer detail: 
Account name: The Macromolecular Society of SA (MSSA)
Account number: 4-1019-0621
Bank/Sorting Code: 632005
Swift Code: ABSAZAJJ
Please fax deposit slip to:  +27(21) 808-4967
 

Additional Information

Please send me an invitation letter

Flight / Accommodation Detail

Arrival Date Name of Accommodation
Departure Date
For further information contact Aneli Fourie: Conference Secretary
Tel: +27(21)808-3174;  Fax: +27(21) 808-4967;  Email: aef2@sun.ac.za