IMA Convention

28^th ANNUAL IMA CONVENTION: 4 – 6 JULY 2008

COASTLANDS CONFERENCE CENTRE, 45 WEST STREET, DURBAN

UNITY IN DIVERSITY

Postal Address: P.O. Box 701063, Overport, 4067 Tel: 031 2072250 Fax: 031 2072260

Email: imakzn@eastcoast.co.za

Surname: First Name:

Postal Address:

HPCSA No:

Telephone: Cell:

Fax: Email:

Spouse’s Name if attending:

Names and Ages of Children Attending:

REGISTRATION FEES
REGISTRATION		EARLY Before 31 May 2008	LATE After 31 May 2008	TOTAL
Doctors, dentists, pharmacists, optometrists, etc	Member	R850	R1050
“	Non Member	R1250	R1450
Spouse	Member	R750	R950
“	Non Member	R1150	R1350
Nurses / Paramedics		R500	R700
Students		R400	R500
Children	0 – 4 yrs	N.C.
Children	4 - 12 yrs	R300	R400
Youth at Hotel	12+ yrs	R500	R600
Youth at Camp	12+ yrs	R300	R400
Day delegate	Member	R400	--
“	Non Member	R500	--
Student Accommodation at Coastlands	Incl. Breakfast per Day	R100
TOTAL

BANKING DETAILS

FAX DEPOSIT SLIP

AND

REGISTRATION FORM

031 2072260

METHOD OF PAYMENT

Cheque

Bank Transfer

FIRST NATIONAL BANK

ACC. NO. 62162914206

BRANCH: OVERPORT - 222 826

REF. : YOUR NAME

ACCOMMODATION OPTIONS
Venue	Telephone	Size	Cost	Breakfast	Reference
Coastlands	031 3355000	Hotel - 2 Adults, 3 Kids	R750 / night	R62.50 each	IMA
		Self Catering – Max 4	R430 / night	“
Garden Court - South Beach	031 3372231	Single	R619/ night	R95.00 each
		Family Rooms	R743 / night	“
Balmoral Hotel	031 3685940	Executive Sea Facing	R1322 Single	Incl. Breakfast	8260
			R1769 Double	“
Balmoral Hotel		Standard Sea Facing	R1150 Single	“
			R1547 Double	“
Balmoral Hotel		Studio Non Sea Facing	R850 Single	“
			R1058 Double	“
This is a peak holiday period and the above options are available for a limited period only depending on availability. Other than for Coastlands there are no block reservations for IMA at the other hotels. Please contact the hotel directly and book your accommodation early to avoid disappointment.

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