SAOA - South African Optometric Association

News & Events

Website Sponsored by

Do Optometry

Delegate Details

Title: First Names: * Surname: * Company Name: * Telephone: * Fax: Mobile: * Email Address: * HPCSA Number Dietary Requirements:

Company/Organization details for Billing Purpose

Postal Address: Suburb/City: Postal Code: Method of Payment: *

Registration Details

SAOA Member: R500.00 (including VAT)

Non Member R700.00 (including VAT)


Venue you would like to register at

Province	Region	Venue	Date
Gauteng	Johannesburg	Gallagher Convention Centre	24 May 2012
Kwa-Zulu Natal	Durban	Elangeni Hotel	12 July 2012
Western Cape	Cape Town	Crystal Towers hotel & Spa	27 September 2012

Banking Details:

Standard Bank:

Menlyn Retail branch

Acc number:

012678279

Branch Code:

012345

Fax to:

0866359128

Do you give consent to the SAOA to send your information to the sponsors?

Yes

I acknowledge that by submitting this form I assume responsibility for the payment of the registration fees, I remain liable for the payments of all amounts due in the event of non attendance of this event.

Anti Spam:	**Sum of 4 + 7 ?

8 CPD Points

Member Number:
	SAOA Number		Supplier Invite nr & name

	Invite From