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SIL 2010 Online Registration Form

15 - 20 August 2010
Please note that registration is only complete once full payment is received.
The fields indicated in red stars (*) are required fields.
1. Personal Details
Title: *
First Name(s): *
Surname *
Institution *
Address 1 *
Address 2
Country *
Telephone number *
Fax Number *
Email 1 *

Email 2
2. SIL Member?
*

3. Accompanying Person(s)
1 2 3
Title
First Name
Surname
4. Payment
Early Bird registration closes on March 2010
Quantity Description Amount

SIL Member early bird US$ 750

Non Member early bird US$ 850

SIL Member late US$ 800

Non Member late US$ 900

Student SIL-Member early bird US$ 400

Student Non-SIL Member US$ 450

Student SIL-Member late US$ 450

Student Non-SIL-Member late US$ 500

Accompanying early bird US$ 200/person

Accompanying person late US$ 250/person
Total Payment due (US$)
Students must be enrolled in an undergraduate or graduate program to be eligible. Proof of status is required. Registrants must fax a signed letter by Department Head or other official indication of student status to the Congress Secretariat - Conferences Et Al
To Become a SIL member before registering to the conference, please click here
Registration entitles you access to all venues, welcome function, coffees and teas, congress dinner, midweek excursion and all congress documentation.
5. Contribution (Please complete the abstract form)
Poster: Oral:
Title(s):
6. Payment Options
*

6.1 Details for Electronic Bank Transfer
Account Holder University of the Free State, Nelson Mandela Road, Bloemfontein 9300, South Africa
Banking Details BANK: ABSA BANK
BRANCH: PUBLIC SECTOR
ACCOUNT NO: 1570 850 071
BRANCH CODE: 632005
SWIFT CODE: ABSAZAJJ
Please indicate clearly your name on the payment as well as the University Entity Number: 111458570
Please email or fax a proof of payment to: sil2010@ufs.ac.za or +27 51 4445945
6.2 Details for Credit Card Payment
Click on the link to download the Credit Card Authorization Form as a pdf document.
Click to download
7. Registration for the pre- and post congress excursions are done at http://sil2010.ufs.ac.za
8. Refund
Unable to come? Until 6 weeks before the start of the congress you may cancel your participation, provided this is done in writing. You will then be refunded for the congress fee minus US$ 50. If you cancel between 6 to 2 weeks prior to the start of the congress, you are only entitled to a 50% refund.