Registration and Payment

Please complete the form below to register for the Berlin10 Open Access conference:

Registration closes on 24 October - conference fee: ZAR 4 000.00

 

Personal and contact information


Title

  
 
First Name    
Please enter the name to be printed on your nametag.
 
Last Name   
 
Position   
E.g. Researcher in Engineering, Provost, Rector, Dean, etc.
 
Institution   
Please type in full e.g. University of Toronto, Academy of Science for South Africa, Private, etc.
 
Postal address   
 
City   
 
Postal/Zip code   
 
Country   
 
E-mail address   
Confirm e-mail address   
   
Mobile number  
 
Work landline number  
 
Fax number  
 
Special needs - physical  
Please indicate any accessibility requirements.
 
Dietary needs   
   

Events information

Other than the main conference, please indicate below which further events you will be attending.
   
Workshop - 1st choice   
 
Worskhop - 2nd choice   
 
Social events   None
  Welcome reception (6 November)
  Gala dinner (7 November)
 
Will you require transport to and
from the gala dinner venue?		   
   

Payment information
Please indicate how you will make your payment. Refer to the registration page for information on processing bank deposits/wire transfers.
   
Payment method   
Note:
If you select to pay by CREDIT CARD, only Master or Visa cards are supported by the Stellenbosch University
online payment gateway (Safeshop).