SASAE CONFERENCE REGISTRATION FORM 2022

SASAE CONFERENCE REGISTRATION FORM 2022

55TH CONFERENCE FOR THE SOUTH AFRICAN SOCIETY FOR AGRICULTURAL EXTENSION
Initials and Surname *

Title Initials Last Name
Organisation
Position
Address *

Street Address

Province

Country
Cellphone Number *

Area Code Phone Number
E-mail *
Indicate special dietary requirements, if any:
CONFERENCE REGISTRATION:

I hereby register for the 54th Annual Conference and accept that registration is only valid on receipt of this registration form and proof of payment emailed to the Secretariat.

SASAE BANK ACOUNT DETAILS:

Bank: ABSA

Account no: 540 810 257

Branch code: 334 334

EFT Branch code: 632 005

Swift code: ABSAZAJJ

Reference: Invoice number
Are you a Member of SASAE? *

Yes No
Registration Fees

SASAE Members Early Registation - R5000.00 SASAE Members Late Registration - R5500.00 Non-SASAE Members Early Registration - R5500.00 Non-SASAE Members Late Registration - R6000.00 Day Visit – (per day - if you attend only one day) - R2000.000
Please acknowledge the following for POPIA:

All personal information which is provided to SASAE and SAJAE will only be used for the purpose of which is it collected and will be held and stored securely. Your information is stored for the purpose of being a member/or applying to be a member of SASAE.

You hereby give SASAE permission to process information for the purpose of providing the following communication:
- Information regarding the SASAE Annual Conference and Webinars
- Information regarding Membership with SASAE (including SASAE membership fee invoices)
- Information regarding the South African Journal for Agricultural Extension
- Information regarding Agricultural Extension
- Other SASAE related matters
Please note that all personal information obtained is stored electronically on our database and will be strictly safeguarded and only used for the purpose of providing SASAE and Agricultural Extension related information. No personal information will be given to any third party without prior consent from you.
By completing this application form, I hereby acknowledge and accordingly consent that the South African Society for Agricultural Extension (SASAE) may collect my personal information. I hereby acknowledge and accordingly consent that SASAE may collect, store, use or otherwise process my personal information as the context and circumstances may require and as contemplated in terms of POPIA for the duration of my membership with SASAE. *

I agree and hereby give consent to the above. I disagree and do not give consent to the above.
By completing this application form, I hereby acknowledge that I voluntarily provide SASAE with my personal information and consent to SASAE collecting, disclosing and processing my personal information for SASAE membership. *

I agree and hereby give consent to the above. I disagree and do not give consent to the above.
I hereby acknowledge that any personal information provided to SASAE will be safeguarded and that no third party will have access to my information without my prior consent. *

I agree and hereby give consent to the above. I disagree and do not give consent to the above.
Date
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