19th Spine Congress: 30 May - 1 June 2019

CSIR, Pretoria, Gauteng, South Africa


Delegates

Personal Info

Are you a SASS member?
Yes No
    
Early Bird date is before 30 Apr 2019

Other Membership

Please indicate Membership for CPD:
MP AHPC HPCSA Other Not a Doctor
If Other specify Society Code:

* SA Doctors only (MP number, Mobile number and
Email address will be used on CPD certificate)

Registration Requirements

  Arrival Date:
Departure Date:
Will you attend the Gala Dinner ?
Yes No
Dietary Requirements
Payment :
Self Sponsored

Accompanying Persons

Not attending Congress. Social function only.
Number of Accompanying Person(s):

Additional Info

You are paying in South Africa using ZAR (R)
Payments are processed by South African Spine Society Congress Account.
Please select Payment Options : Credit Card EFT secure instant deposit EFT manual

Marketing Permissions

Yes No  Distribute info to all the Exhibitors
Yes No  Distribute info to all the Delegates
Yes No  Use info for General SASS marketing
    I have read and understand the Terms of Use
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