REGISTRATION FORM - HIV Resistance

30th International Workshop on HIV Drug Resistance and Treatment Strategies - Online Registration

Note: For each accepted abstract, one registration slot will be awarded to the presenting author. Applicants without accepted abstracts will be notified if their registration application has been approved within 1 week of submission.

	Yes	No
Will you be submitting an abstract to the 30th International Workshop on HIV Drug Resistance and Treatment Strategies?
Have you presented an abstract previously or been credited as the senior author of an abstract presented at a past International Workshop on HIV Drug Resistance & Treatment Strategies?
Are you actively involved in HIV research including drug resistance, treatment response, pathogenesis or epidemiology?
Do you regularly treat individuals infected with HIV?
Do you represent a community-based group?
Have you presented / published previously?

If you have answered yes to the last question please provide details where you have presented / published previously?

Delegate Details:

Title

First Name

Surname

Organisation

Position

Dietary requirements (if applicable)

Disability access (if applicable)

Billing Details:

Organisation Name

Contact Email

Contact Person

VAT Number (if applicable)

Address (For billing purposes)

Postal Address

Suburb/City

State/Province

Postal/Zip Code

Country

REGISTRATION

Fee includes access to the Workshop, social functions and accommodation as detailed on the website.

For additional accommodation nights or special requests please contact the SAHCS Secretariat - janice@sahivcs.org

REGISTRATION RATES

Delegate registration at R13 500.00

Social functions / dinners (indicate if attending):

	Attending	Not attending
Dinner at the hotel - Tuesday, 19 September 2023
Welcome Cocktail function - Wednesday, 20 September 2023
Dinner at the hotel - Thursday, 21 September 2023
Awards Dinner - Friday, 22 September 2023

Terms & Conditions

Registration applications are subject to approval by the Workshop organising committee.

Payment is due 30 days from receipt of invoice.

An invoice with the Workshop bank details will be sent to you upon approval of the registration application. Please make payment on receipt of this invoice.

Payment reference: First initial and surname.

Please email or fax proof of payment to janice@sahivcs.org

Delegates attending from countries outside of South Africa are requested to make payment in South African Rands (ZAR) and are responsible to cover the bank charges. The full delegate registration fee amount invoiced must appear in the Workshop bank account.

No delegates will be allowed entrance to the Workshop without full payment being received.

CANCELLATION POLICY

Due to the nature of this Workshop and the proximity of registration to the commencement of the Workshop itself all registration fees are non-refundable.

Delegates will be liable for invoices issued - as well as in the case of non-attendance to the Workshop.

Please make sure of spelling and any abbreviations before submitting your form as this information provided will be published in the Workshop programme / abstract book. By registering for the Workshop you agree to the organising committee listing your details, including full name, organisation and email address, in the programme / abstract book.

I hereby consent to listing my details in the programme / abstract book

I do not consent to listing my details in the programme / abstract book

I confirm I have read and agree to the terms and conditions and cancellation policy listed for this registration.