Register For The 9th SASSiT Refresher Congress

 
 
REGISTRATION FORM
NAME:
SURNAME:
UNIVERSITY/HOSPITAL:
COURSE:
DISCIPLINE:
RANK:
MP #:
EMAIL:
CELLPHONE:
POSTAL ADDRESS:
DIETARY REQUIREMENTS:
 
Membership R400
Course Registration R750

Banking Details
Bank: Nedbank
Account Name: SASSiT
Account Number:1944219382
Branch code:198765
REF: Full name

Email proof of payment to natasha.bmb@gmail.com and susanparkes@mweb.co.za

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