6th EMSSA International Conference

hosted by Emergency Medicine Society of South Africa & Emergency Care Society of South Africa

Sun City Resort, North-West Province
2-5 October 2017

Registration

Title
First Name * Surname *
Address City *
Country *
Postal Code HPCSA Nr:
Tel Fax
Mobile Email Address *
Registration Type *
Attending
If attending on a daily basis please state day/s:
(press and hold "Ctrl" on your keyboard to click multiple days)
   
Please indicate if you are an EMSSA or ECSSA member: *
EMSSA
ECSSA (applicable to Paramedics only)
Non Member

REGISTRATION FEES

Early Before 2 July

Late

EMSSA / ECSSA MEMBER

   

Doctors

R 5 600

R 6 100

Doctors Daily

R 2 200

R 2 500

Registrars

R 4 650

R 5 050

Registrars Daily

R 1 900

R 2 200

Paramedics

R 4 400

R 4 900

Paramedics Daily

R 1 900

R 2 200

Nurses

R 3 950

R 4 550

Nurses Daily

R 1 700

R 2 000

Students

R 2 550

R 3 050

Students Daily

R 1 300

R 1 500

     

NON MEMBERS
South African & Low-middle Income Countries

   

Doctors

R 6 100

R 6 600

Doctors Daily

R 2 350

R 2 650

Registrars

R 5 150

R 5 550

Registrars Daily

R 2 050

R 2 350

Paramedics

R 4 900

R 5 400

Paramedics Daily

R 2 050

R 2 350

Nurses

R 4 450

R 5 050

Nurses Daily

R 1 850

R 2 150

Students

R 3 050

R 3 550

Students Daily

R 1 450

R 1 650

     

International / High Income Countries

   

Doctors

R 6 995

R 7 495

Doctors Daily

R 2 550

R 2 800

Registrars

R 6 495

R 7 000

Registrars Daily

R 2 350

R 2 650

Paramedics

R 6 000

R 6 500

Paramedics Daily

R 2 150

R 2 450

Nurses

R 5 500

R 5 800

Nurses Daily

R 2 050

R 2 300

Students

R 4 100

R 4 400

Students Daily

R 1 700

R 1 900

     

Full conference fee includes teas, lunches, registration material and access to sessions, exhibition and cocktail reception

Daily conference fee includes tea/lunch, registration material, access to sessions and exhibition.

PRE CONFERENCE WORKSHOPS - Monday 2 October:
Note: if you are attending a half day workshop, you will not be allowed to attend a full day workshop.
Half Day Full Day
Please choose one from either the AM or PM drop downs: Please choose one from the full day drop down:

AM:

PM:

Full Day:
SIM
R 500.00
Sun City Resort, North-West Province
Half Day (AM)
Limited to 30 delegates
Basic Level 1 Ultrasound
R 2 500.00
Sun City Resort, North-West Province
Full Day
Limited to 40 delegates
 
Ventilation
R 500.00
Sun City Resort, North-West Province
Half Day (PM)
Limited to 50 delegates
ECG
R 1 250.00
Sun City Resort, North-West Province
Full Day
Limited to 50 delegates
   
Research
R 500.00
Sun City Resort, North-West Province
Half Day (AM)
Limited to 50 delegates
Toxicology
R 1 250.00
Sun City Resort, North-West Province
Full Day
Limited to 50 delegates
   
EM Nursing
R 500.00
Sun City Resort, North-West Province
Half Day (PM)
Limited to 50 delegates
 
For more information on each workshop please click here

SOCIAL PROGRAMME:
Event Attending Number
Welcome Reception
Monday 2 October 2017
Venue: Superbowl, Sun City Resort, North-West Province
No charge for delegates registered for the full Conference.
R400 Daily Registration
R400 per partner
     
Conference Braai
Tuesday 3 October 2017
Venue: Boma, Sun City Resort, North-West Province
R600 per person
     
AFEM 5th Consensus Day
Mapping Emergency Care in Africa
Sun City Resort, North-West Province
5 October
13:00-17:00
No charge
*
     
SUPADEL SPONSORSHIP:
Supadel is a unique AFEM initiative that sponsors the attendance of delegates from low and middle income countries at AFEM-affiliated conferences on African soil. The program has been operational for nearly five years, and in this time has allowed numerous Emergency Care professionals without the financial means to attend high quality acute care conferences throughout the continent. Click for more info. To apply for Supadel sponsorship, please visit the Supadel page.
I would like to give the following to Supadel: R
If own amount, please specify: R  
     
DIETARY REQUIREMENTS If other, please specify:
Accompanying person requirements If other, please specify:

All Fees above include VAT

Click here for a CURRENCY CONVERTER

To calculate the total fees for your registration, please click on the "Calculate" button. Based on your selection the appropriate registration fee will update automatically. Once completed, please click on the "Register Now" button.

Registration Fees:
Workshop Fees:
Social Programme Fees:
Supadel Donation:
Total Fees:
* denotes a required field

PAYMENT INFORMATION

  1. Bank deposits: Please see banking details below and fax the deposit slip to 021 448 7694 or email conference1@onscreenav.co.za
  2. Internet transfers: Please fax proof of payment to + 27 21 448 7694 or email conference1@onscreenav.co.za
  3. Cheques: Please see account name and address below. No foreign cheques.
  4. Postal orders and travellers cheques will NOT be accepted.
  5. The completed registration form together with the relevant payment must be received no later than 2 July 2017, in order to benefit from the reduced early registration fee.
  6. Please ensure that the name of the Delegate is stated on the bank transfer.
  7. Bank charges are the responsibility of the delegate and should be paid at source in addition to the registration fees.
  8. Registration will only be valid upon receipt of the full payment by the registration department according to the deadline indicated. Your registration is not guaranteed without payment.
  9. Outstanding payments will be collected on-site and charged the on-site rate. A copy of the bank transfer (or other proof of payment) will be required in the event that registration fees were not credited to the meeting account on time.

 

Banking Details:

Name of Account: Conference 5
Bank: ABSA Bank
Branch Name: Claremont
Branch Code: 632005
Account Number: 9270409520

 

CANCELLATIONS

Cancellations should be e-mailed to Bridget de Beer. Before 2 July 15% cancellation fee applies. Thereafter 100% cancellation fee applies.

Once registered you can ONLY make changes to your registration by contacting Onscreen Conference -
Tel. +27 21 486 9222 / Email: conference1@onscreenav.co.za

For any queries about the conference, please contact Bridget de Beer on:

Onscreen Conferences & Events
604 Premier Centre, 451 Main Rd, Observatory 7925, Cape Town, South Africa
Tel: +27 21 486 9222
Cell: +27 61 313 1090
Fax: +27 21 448 7694
Email: conference1@onscreenav.co.za

DISCLAIMER
The Emergency Medicine Society of South Africa & Emergency Care Society of South Africa and Onscreen Conferences & Events (or their agents) will not be liable for changes beyond their control and may alter or cancel without prior notice, the conference or any of the arrangements, timetables, plans or other items relating directly to indirectly to the conference.  Nor will they be liable for any loss, damage, expenditure or inconvenience caused to participants and their belongings either during or as a result of the conference or as a result of such alterations or cancellations. Please check the validity of your own insurance.