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EPTEMBER 2009 REGISTRATION FORM 1 PERSONAL DETAILS Prof/Dr/Mr/Mrs/Ms: First Name: Surname: Address: Postal Code: Tel No:( ) Fax:( E-mail: ) HPCSA Reg No: 2 REGISTRATION FEES Please mark with a X: Regular Registration R 650-00 Student Registration* R 350-00 *(Please attach proof of student status, e.g. photocopy of student card, to registration form) The registration fee includes the cost of registration materials, conference proceedings, all refreshments (morning and afternoon cof.

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