OASA Congress 2011 - Registration Form

Congress 2011

Call for Papers

OASA Congress 2011 Registration Form 14-17 August 2011
Ocularist Association of Souther Africa

Register and Pay before 01 July 2011
NO registration at the door.
All fields marked with * are required.

Important request to companies sponsoring delegates:
Kindly let us have the delegate’s personal email address and other contact information.

You can also download a printable version of this form if you prefer.

Indicate your Discipline:

Ocularist	Optometrist	Orthoptist
Ophthalmologist	Trade
Other	If Other, please specify:

Select the appropriate category to expand this form

OASA Member

Ocularist - Not a member of OASA

Trade Delegates

Congress Fee for OASA Members
Full Congress: R3,619.00 - Early bird discount R3,076.00

Add a second delegate on this form.

Congress Fee for Ocularists - Not a member of OASA
Full Congress: R4,343.00 - Early bird discount R3,692.00

Add a second delegate on this form.

Congress Fee for Trade Delegates
By Arrangement - Please contact Chantal congress2011@oasa.org.za

Personal Details

Title:

Surname: *

Initials:

Preferred badge name of delegate:

HPCSA Number:

Second Delegate: (OASA member)
Title: Initials: Surname:

Preferred badge name of second delegate:

HPCSA Number (second delegate):

Second Delegate: (Not a member of OASA)
Title: Initials: Surname:

Preferred badge name of second delegate:

HPCSA Number (second delegate):

Preferred badge name of accompanying guests:

Company / Institution:

Postal Address:

Postal code:

Country:

Business Telephone:

Business Fax:

Mobile Telephone:

Email Address: *

Special dietary requirements

Vegetarian
Halaal
Kosher
Other Specify:

Please supply Delegate Shirt Size

Please supply Second Delegate Shirt Size

Please supply Second Delegate Shirt Size

Game Night Drive

Reserve a Game Night Drive R230.00 per person on
16 August 2011 - Departs at 18h30 (only children over 6 years allowed). Limited space available.

How many persons:

Additional Meals

Meals required for adult guests if not self-catering R1,300.00 per person - Early bird discount R1,200.00

How many adults?

Meals required for children under the age of 12 if not self-catering R850.00 per person - Early bird discount R750.00

How many children?

Accommodation

We strongly recommend that you book accommodation through our association at no additional levy to the advertised prices, or at least check with Beryl at secretary@oasa.org.za before making an independent booking. Kruger National Park has a speed limit of 50km/h on tar roads and 40 km/h on dirt road and you would not be able to stay at another rest camp within Kruger National Park and still attend all lectures as the gates for the camps and park have set opening and closing times between dusk and dawn. Any accommodation would need to be made around the Malelane Gate of Kruger National Park. We have selected a few options below for your convenience. Travelling long distances at night back to your accommodation would not be ideal and would detract from your experience in Mpumalanga, South Africa.

We have secured some accommodation in the Berg-en-Dal camp but there are limited options available.
There are three basic types of accommodation and all are shared options.
Due to limited accommodation available in the camp we will only be able to accept shared accommodation booked for Berg-en-Dal itself.
For single accommodation, please see other accommodation options available further on in this booking form.

The KNP is not open all day and night. Entry gate and camp gate opening and closing times for August are - Open 06h00, close 18h00.
If you are late back into camp or found driving around at night, you will be fined. Make sure to be out or back in the camp before closing time! We have a special arrangement to escort delegates to the gate after hours to get back to accommodation outside of the park.

Option A:
Berg-en-Dal - Family Cottage:

Sleeps 6: Availability – 2 Cottages
1 Bedroom with 2 single beds, 1 bedroom with double bed, 2 bench beds in lounge, aircon, kitchen, w/c, shower and bath.

4 persons minimum R1,375 per Night
R270 per person extra per night, maximum 2 persons.

Check-in:	Check-out:	Nights:

Option B:
Berg-en-Dal - Bungalow on the Perimeter:

Availability � 5 Bungalows on the rest camp fence perimeter
3 single beds, aircon, fridge, hotplate, perimeter, sink, utensils, w/c, shower.

2 persons minimum R815 per Night
R160 per person extra per night, maximum 1 person.

Check-in:	Check-out:	Nights:

Option C:
Berg-en-Dal - Bungalow:

Availability � 9 Bungalows
3 single beds, aircon, fridge, hotplate, sink, utensils, w/c, shower.

2 persons minimum R745 per Night
R160 per person extra per night, maximum 1 person.

Check-in:	Check-out:	Nights:

Option D:
Belvedere-On-River:

Sleeps 11
All rooms have a bar fridge, tea and coffee making facilities, Satellite TV, hair dryer, air-conditioner, and doors leading to the swimming pool area with views of the Kruger National Park and Crocodile River.

Single Room B&B R480 per Night
Double Room Single rate B&B R590 per Night
Double Room Sharing B&B R1 100 per Night

Check-in:	Check-out:	Nights:

Option E:
Pestana Kruger Lodge:

all rooms have balconies. All the rooms are equipped with: Air Conditioning; Satellite TV; Direct dial telephone; Electronic Safe Deposit Box ; Hair Dryer; mini bar fridges stocked on request; Voltage 220V (3 pin is used in SA 2 pin sockets are provided in every room); Tea & Coffee making facilities; Room service menu; Laundry Service; En-Suite bathroom with complimentary toiletries
32 Standard Rooms twin beds, 10 Deluxe rooms with king-size beds, 30 Family rooms with queen-size bed & sleeper couch, 2 Suites.

Standard Room Single R1193 per Night
Standard Room Sharing R1 576 per Night (2 adults)
Family Room Single R1 373 per Night
Family Room Sharing R1 756 per Night (2 adults)
Executive Room Single R1 500 per Night
Executive Room Sharing R1 882 per Night (2 adults)
Suite Single R2 100 per Night
Suite Sharing R2 482 per Night (2 adults)

Check-in:

Check-out:

Nights:

Children 1-12 Free
Children 13-18 R510 per night

EXTRA BED RATES and CHILD RATES - For Family Rooms & Suites including HB
Extra Bed Adult & children 13+ years R 510.00
Children 1-12 years of age Free
Children 1 – 12 years of age stay free including HB when sharing with parents in a family room or suite. Extra bed for adults & children 13–18 are available when sharing with full paying adults in the same room and pay the above rates inclusive of HB. Family rooms & suites support a maximum of 2 adults + 2 children sharing.
Requests for children to have a separate room will be charged at full adult rates – 1st child at single rates and 2nd and/or 3rd child at children’s rates above. Please see attachment from the Lodge for conditions et al.

Additional Comments:

Payment

Please deposit: using your name as reference:

Bank: First National Bank
Account Name: Ocularists Association of Southern Africa
Account No: 62029987908
Account Type: Cheque account
Branch Code: 254905 - Branch: Cresta
Reference: Your name & surname as it appears on the registration form.
Swift code: (for international transfers) FIRNZAJJXXX

Payment MUST be received to finalize registration.

List of Entitlements:
Delegates:

Conference fees for the 2 day conference are included.
Delegate Shirt included – Please provide shirt size.
Sunday – Dinner. Monday - Breakfast, Morning Tea, Lunch, Afternoon Tea and Dinner. Tuesday – Breakfast, Morning Tea, Lunch, and
Afternoon Tea are included.
Note: If you’re choosing to stay at Berg-en-Dal Rest Camp, Kruger National Park, then you will be booking into Berg-en-Dal on Sunday 14th August 2011 and booking out Wednesday 17th August 2011. Meals for Tuesday evening 16th August 2011 and Wednesday 17th August 2011 are for your own account. Berg-en-Dal has a restaurant and a shop and all rooms at Berg-en-Dal have self catering facilities.
Note: Conservation Fee for Kruger National Park is payable per person on arrival at any of the gates into KNP for your own account on arrival.
The Tuesday evening Game Drive booking is charged as a separate option in this booking form –it must be booked and paid for on a strictly first-come first-serve basis. There are only 20 seats available. Please check availability on your date of booking/transfer.

Conservation Fee:
This is payable at your chosen gate of entry into Kruger National Park. South African Identity Document or International Passport is required for all visitors to Kruger National Park. A Wildcard can sometimes be a cheaper option to paying per person per day and enquiries can be made at the gate of entry.
Berg-en-Dal Rest Camp is near Malelane Gate.

Local delegates and guests: R45 per person per day

International delegates and guests: R180 per person per day
(Children up to age 11 - R90 per child per day)

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Disclaimer: Whilst every effort has been made on the part of OASA and their Directorate to ensure a great experience at the various accommodation options suggested herein, it remains your own responsibility to check accommodation ratings, pricing and suitability to your own preference. These are suggestions made by locals to help facilitate your stay. These bookings remain at your own risk and if you are not entirely satisfied with your stay then the individual resort should be contacted directly in regards to complaints you may have.

Congress 2011