Conference Registration Personal Contact DetailsName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Title First Name Surname Preferred name to be printed on your Name Tag:Email address:(Required) Mobile number (please include international dialling code):(Required)Nationality:(Required)Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCompany/Organization/Institution/Affiliation:(Required)Billing address: The address of the organisation/individual responsible for the paymentBilling address line 1:(Required)Billing address line 2:Billing city:(Required)Country:(Required)Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsBilling zip code:(Required)VAT number (South Africans - if applicable):Dietary Specifications:Do you have any specific dietary requirements?(Required) Yes No If yes, please select from the below (The venue charges R45 extra per person per meal for special diets: R90 per day - R450 extra for full registration):(Required)Please selectVegetarianVeganHalaalPlease provide details for any chronic medical food allergies if applicableRegistration OptionsPlease choose below your method of attendance:(Required) FULL REGISTRATION: attending the full conference from 27 – 31 July 2025 DAY REGISTRATION: attending any of the days 28, 29 or 30 July 2025 FULL REGISTRATION: attending the full conference from 27 -31 July 2025 and includes: Scientific programme Registration Pack Welcome reception on 27 July 2025 Dinners on 28 & 29 July; Gala Dinner and Awards evening on 30 July Daily Brunch, Two tea/coffee breaks with snacks on 28, 29 & 30 July Breakfast on 31 July Full Registration Options(Required) Early bird Registration (From 1 February – 15 May; payment before or on 15 May) Regular Registration (From 16 May – 15 July; Payment before or on 15 July) Early-bird Registration (From 1 February – 15 May; payment before or on 15 May)(Required) ZSSA Member: R 5 000.00 Non-ZSSA Member: R6 000.00 Student ZSSA member (ONLY non-employed full-time students): R3 300.00 Student non-ZSSA member: R3 700.00 Regular Registration (From 16 May – 15 July; Payment before or on 15 July)(Required) ZSSA Member: R 5 800.00 Non-ZSSA Member: R6 800.00 Student ZSSA member (ONLY non-employed full-time students): R4 000.00 Student non-ZSSA member: R4 400.00 DAY REGISTRATION: attending any of the days 28, 29 or 30 July 2025 and includes: Scientific programme Registration Pack Daily Brunch, Two tea/coffee breaks with snacks on 28, 29 & 30 July Day Registration Options(Required) Early bird Day Registration (From 1 February – 15 May; payment before or on 15 May) Regular Day Registration (From 16 May – 15 July; Payment before or on 15 July) Early-bird Day Registration (From 1 February – 15 May; payment before or on 15 May)(Required) Monday, 28 July: R1 400.00 Monday, 28 July with dinner included: R1 700 Tuesday, 29 July: R1 400.00 Tuesday, 29 July with dinner included: R1 700 Wednesday, 30 July: R1 400.00 Wednesday, 30 July with Gala Dinner included: R1 800 Regular Day Registration (From 16 May – 15 July; Payment before or on 15 July)(Required) Monday, 28 July: R1 600.00 Monday, 28 July with dinner included: R1 900 Tuesday, 29 July: R1 600.00 Tuesday, 29 July with dinner included: R1 900 Wednesday, 30 July: R1 600.00 Wednesday, 30 July with Gala Dinner included: R2 000 Dinner options for accompanying partner/s not attending the conference(Please note that there is a restaurant for light meals during the day for non-conference goers)Please select accompanying NON-ATTENDING partners dinner options below: Sunday Meet and Greet: R350 Monday Dinner (Braai): R350 Tuesday Dinner (Picnic): R350 Wednesday Gala Dinner: R450 Pricing Summary and PaymentFull Registration - Early Bird: ZSSA Member Price: Full Registration - Early Bird: Non-ZSSA Member Price: Full Registration - Early Bird: Student ZSSA Member Price: Full Registration - Early Bird: Student non-ZSSA Member Price: Full Registration - Regular: ZSSA Member Price: Full Registration - Regular: Non-ZSSA Member Price: Full Registration - Regular: Student ZSSA Member Price: Full Registration - Regular: Student non-ZSSA Member Price: Day Registration - Early Bird: Monday, 28 July Price: Day Registration - Early Bird: Monday, 28 July with dinner Price: Day Registration - Early Bird: Tuesday, 29 July Price: Day Registration - Early Bird: Tuesday, 29 July with dinner Price: Day Registration - Early Bird: Wednesday, 30 July Price: Day Registration - Early Bird: Wednesday, 30 July with dinner Price: Day Registration - Regular: Monday, 28 July Price: Day Registration - Regular: Monday, 28 July with dinner Price: Day Registration - Regular: Tuesday, 29 July Price: Day Registration - Regular: Tuesday, 29 July with dinner Price: Day Registration - Regular: Wednesday, 30 July Price: Day Registration - Regular: Wednesday, 30 July with dinner Price: Full Registration: Special Dietary meal addon Price: Early-bird Day Registration - Monday, 28 July: Special Dietary meal addon Price: Early-bird Day Registration - Monday, 28 July with dinner: Special Dietary meal addon Price: Early-bird Day Registration - Tuesday, 29 July: Special Dietary meal addon Price: Early-bird Day Registration - Tuesday, 29 July with dinner: Special Dietary meal addon Price: Early-bird Day Registration - Wednesday, 30 July: Special Dietary meal addon Price: Early-bird Day Registration - Wednesday, 30 July with dinner: Special Dietary meal addon Price: Regular Day Registration - Monday, 28 July: Special Dietary meal addon Price: Regular Day Registration - Monday, 28 July with dinner: Special Dietary meal addon Price: Regular Day Registration - Tuesday, 29 July: Special Dietary meal addon Price: Regular Day Registration - Tuesday, 29 July with dinner: Special Dietary meal addon Price: Regular Day Registration - Wednesday, 30 July: Special Dietary meal addon Price: Regular Day Registration - Wednesday, 30 July with dinner: Special Dietary meal addon Price: Sunday Meet and Greet Price: Monday Dinner (Braai) Price: Tuesday Dinner (Picnic) Price: Wednesday Gala Dinner Price: Total Additional comments to the organisersPay now with PayFast:(Required) No, I need a quote/invoice Yes
