Larasa
Leisure and Recreation Association of South Africa
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2018 Congress Registrations
2018 LARASA International Congress Registration Form
Kindly complete all details before submitting.
Title
Mr
Mrs
Dr
Prof
Name
*
First
Last
Institution / Organisation
Address
Country
*
Business Telephone
Business Fax
Contact Mobile
Email Address
Enter Email
Confirm Email
Attending as ...
*
Keynote Speaker
Invited Speaker
Delegate
Speaker
Student
Volunteer
Field School Future Leader
CONGRESS REGISTRATION FEE
ZAR (SOUTH AFRICAN RANDS)
Member registration
R3 000.00
Non member registration
R4 500.00
Student
R3 000.00
Day Delegate
R2 000.00
Field SChool Future Leader
R2 500.00
Registration
*
LARASA Member fee
Non-member Fee
Student
Day Delegate
Master Class / Future Leader
Volunteer
Speaker fee
ANZALS Member Fee
Online Presentation
Attend the Gala Dinner
Not Attending Gala Dinner
Attending the Gala Dinner
Attend the Social Evening
Not Attending
Yes: Attending
Special Dietary Requirements
Vegetarian
Halaal
Kosher
Diabetic
Regular
Other - please specify
Specify dietary requirement
Airport Transfers
KSIA Airport / Hotel Transfers / KSIA Airport
Return transfer - R 760.00
One Way - R 380.00
No transfer - R0.00
Arrival Date
Arrival Time (24hr format)
:
HH
MM
Arrival Flight No.
Departure Date
Departure Time (24hr format)
:
HH
MM
Depart Flight No.
Payment Summary
TOTAL PAYMENT DUE
R0.00
METHOD OF PAYMENT
Direct Deposit / Bank draft / Cheque – deposited directly into the following bank account:
Name of Account:
LARASA
Name of Bank:
STANDARD BANK
Account No.:
257794018
Branch Code:
045426 WESTVILLE
Swift Code:
SBZAZAJJ
Registrations will be confirmed once payment has been received. There will be no facilities for registration or payments on the days of the Congress.
Full registration entitlements : congress bag, meals, entrance to all sessions and selected social events.
Student registration entitlements : entrance to all sessions, and selected social events Day delegate entitlements : entrance to sessions for one day and selected social events
REGISTRATION CANCELLATION POLICY
All cancellations of registration fees must be received in writing on or before 1 AUGUST 2018 - 30% cancellation fee applicable.
No refund of registration fees if cancellations are received after 1 AUGUST 2018
Completed forms together with proof of payment to be forwarded to LARASA by either by fax 0866729586 or email 2018congress@larasa.org.za.
For queries please call : +27 824848146
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