Registration form

  • Registration form

    You are registering for the Rural Health & Family Physicians Joint Congress 2026

  • Attendee information

    Your details that will be used for the CPD certificates and name tags.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
    • Registration details. 
    • prevnext( X )
                Pre-Conference Workshops

                3,750.00ZAR
                Item subtotal:0.00ZAR
                  
                Early Bird Registration

                Early Bird Registration rates must be paid before the end of June 2026.

                3,800.00ZAR
                  
                Normal Registrations Rate

                Normal registration rates must be paid before the end of August 2026.

                4,700.00ZAR
                  
                Dietary Requirement [All options are Halaal and Kosher friendly, should you wish to order strictly Halaal and Kosher, then you need to select the strictly option below]

                Price per person per day. If you attend 2 days you need to select 2 tickets.

                 FreeZAR
                Select Dietary Requirements Quantity Price
                None 0.00ZAR
                Halaal [friendly] 0.00ZAR
                Kosher [friendly] 0.00ZAR
                Vegan 0.00ZAR
                Vegetarian 0.00ZAR
                Strickly Halaal 0.00ZAR
                Strickly Koshner 0.00ZAR

                Item subtotal:0.00ZAR
                  
                Carbon Footprint offset

                An amount of R80.00 is included in the registration fee. If you do not wish to offset your Carbon Footprint for the conference please select this box.

                80.00ZAR
                Item subtotal:0.00ZAR
                  
                Subtotal
                0.00ZAR
                Tax
                0.00ZAR
                Total
                0.00ZAR
              •  - -
              • Affiliation or Institution details for invoice 
              • Format: (000) 000-0000.

            • Thank you for your registration. We will send you an invoice within the next 24 business hours. 

            • Should be Empty: