Registration Form

Fill in the below form if you would like to attend the SAERA conference in East London, South Africa. 
Please note, capacity is limited and presenters will be prioritized (first come, first serve). 

All conference registration fees are inclusive of annual membership for the year. Delegates need to register via the conference website using an online registration form, after which an invoice with banking details will be sent to you. 

Title *DrProf.MrMs

First Names *

Surname *

Name as it would appear on name tag *

Name and surname

Email address *

Email

Confirm Email

Mobile Phone *

Telephone number

Have you submitted an abstract to present? *YesNo

Any special dietary requirements? *

• N/A
• Halaal
• Kosher
• Vegetarian
• Vegan
• Nut allergy
• Lactose intolerant
• Gluten free
• Diabetic
• Other

If Other for "special dietary requirements", please specify *

Any medical condition or disability we should be aware of? *

Institution (registered name) *

Company registration number (excluding education & government departments)

Company/Institution VAT number *

If invoicing from an institution, include the VAT number. If private individual, insert "N/A".

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Customer account department contact person

For example, finance contact person within your institution.

Customer account department telephone number

Customer account department email address

Category *Full-time academicPostgraduate StudentRetired AcademicOther

Attending the Gala dinner, 2 November 2023? *YesYes and require a plus one - additional R450Only attending the Gala Dinner @ R450 (not attending the conference)No

If bringing plus one to Gala Dinner - Any special dietary requirements (for plus one)?

• N/A
• Halaal
• Kosher
• Vegetarian
• Vegan
• Nut allergy
• Lactose intolerant
• Gluten free
• Diabetic
• Other

If Other for "special dietary requirements", please specify (for plus one)

Would you be interested in attending a Pre-Conference workshop?YesNoUnsure

Limited capacity. Date: 30 October 2023 Time: 13:00 - 16:00 Facilitator: To be confirmed

Proof of Registration IF CURRENTLY a Postgraduate Student

Click or drag files to this area to upload. You can upload up to 6 files.

If you cannot upload your proof of registration, please email it to saeraconference2023@gmail.com

Submit