Registration form for 2014 annual SAACDHE conference

1. 1. DELEGATE REGISTRATION DETAILS
Name
Surname
Title
Professional Reg. Nr.
Designation
Institution
Postal Address
Town/City
Country
Zip/Postal Code
Business Tel
Business Fax
Cell/Mobile Nr.
Email
2. REGISTRATION FEES
Payment method:
Banking details:
Account Name: Vaal University of Technology
Bank Name: ABSA Bank
Swift code: ABSAZAJJ
Account number: 530861945
Branch code: 632005
Reference: F001-9492
Proof of payment to: zelda@vut.ac.za
1
THE SOUTHERN AFRICAN ASSOCIATION FOR COUNSELLING AND DEVELOPMENT IN
HIGHER EDUCATION INVITES YOU TO THE
35TH
ANNUAL SAACDHE CONFERENCE 2014 IN GAUTENG
HOSTED BY
THE VAAL-NORTH WEST REGION
8-10 SEPTEMBER 2014 : Riverside Sun Resort, Vanderbijlpark

2. 3. CONFERENCE FEES – ZAR (R) : (Includes : Conference Package & Social Events)
Members
Non-members / Associate & Affiliate Members
Students (submit proof of registration)
Daily Registration (per day)
Please tick (√) relevant block for preferred day :
R3000.00
R3500.00
R2700.00
R1300.00
Should you need additional information on the above : Zelda Kotzé : +27 (16) 950 9368
4. DELEGATE TRAVEL DETAILS (please provide adequate information)
Return airport transfer at an additional fee of R 1000.00 YES NO
Date of arrival
Flight
Time of arrival
Date of departure
Flight
Time of departure
5. ACCOMMODATION (own arrangements – not included in package)
HOTELS / GUEST HOUSES
Riverside Sun Resort www.tsogosunhotels.com Emerald Resort & Casino www.emeraldcasino.co.za
Little Eden: www.littleedenguestlodge.co.za
Web : www.wheretostay.co.za
Quest Conf Estate www.questconference.co.za
(limited availability)
6. SOCIAL EVENTS
Opening : Boat cruise Monday, 8 September @ 18:00 Riverside Sun Resort
Theme Evening Tuesday, 9 September @ 18:30 NWU Campus Lapa
Gala Dinner Wednesday, 10 September @ 19:00 Riverside Sun Resort
7. DIETARY REQUIREMENTS
NONE VEGETARIAN DIABETIC HALAAL
OTHER (specify) :
8. CANCELLATION POLICY
No refund on registration fees will be permitted.
Substitutions will however be accommodated. Please advise conference organizers in writing
9. CLOSING DATE FOR REGISTRATION
Return completed form to Zelda Kotzé on/before Friday, 1 August 2014
2
8 Sept 9 Sept 10 Sept