Group Registration

Group Contact

Contact Details
Primary Address

Group Members

Welcome to the registration site for the AORTIC 2019 Conference.

Please review our data usage policy before proceeding to register.

Data Processing Consent

Click French or click Portuguese to see a version of the Data Processing Consent Form in the language of your choice. Please give your consent and click Next.

option required
Participant Details and Preferences
The details that you enter below will be used by the Conference Organiser for AORTIC 2019 purposes only.

Please use both UPPERCASE and lowercase when completing the registration form (e.g. John, not JOHN or john).

* = required field
Contact Details
Primary Address
Visa Support Letter
If you require a Visa Support Letter to assist with your visa application, please complete the following passport related section. Please note that Visa Support Letters will only be issued when full payment for registration fees has been received.
Dietary Requirements
Catering at the conference will allow for a wide range of dietary restrictions and preferences (religious, allergy, and lifestyle) with a number of options available at each meal. Please note that no pork products or alcohol will be included in the menus or preparation.

Please answer the following questions to assist us in developing the conference menus.
Do you require a special-order meal?
Do you have any allergies that the kitchen should be aware of?
Do you have any accessibility (disability) challenges?
Emergency Contact

Please provide the details of a person we can contact on your behalf in case of an emergency.

AORTIC Membership


AORTIC members pay reduced conference registration fees. If you would like to join AORTIC and benefit from the members' discount you can do so via this registration. If you are already an AORTIC member you can renew your membership for the period January to December 2019 via this registration.

Please select the correct option below.

Membership Status
AORTIC Membership
Please find your country of residence below to determine which AORTIC membership fee category is applicable to you.

LOW-INCOME ECONOMIES: 
Afghanistan, Guinea-Bissau, Sierra Leone, Benin, Haiti Somalia, Burkina Faso, Korea Dem. People's Rep., South Sudan, Burundi, Liberia, Syrian, Arab Republic, Central African Republic, Madagascar, Tajikistan, Chad, Malawi, Tanzania, Comoros, Mali, Togo, Congo Dem. Rep, Mozambique, Uganda, Eritrea,  Nepal, Yemen Rep., Ethiopia, Niger, Zimbabwe, Gambia, Rwanda, Guinea, Senegal

LOWER-MIDDLE-INCOME ECONOMIES: 
Angola, Indonesia, Papua New Guinea, Bangladesh, Kenya, Philippines, Bhutan, Kiribati, São Tomé and Principe, Bolivia, Kosovo, Solomon Islands, Cabo Verde, Kyrgyz Republic, Sri Lanka, Cambodia, Lao PDR, Sudan, Cameroon, Lesotho, Swaziland, Congo, Rep., Mauritania, Timor-Leste, Côte d'Ivoire, Micronesia, Fed. Sts., Tunisia, Djibouti, Moldova, Ukraine, Egypt, Arab Rep., Mongolia, Uzbekistan, El Salvador, Morocco, Vanuatu, Georgia, Myanmar, Vietnam, Ghana, Nicaragua, West Bank and Gaza, Honduras, Nigeria  , Zambia, India, Pakistan  

UPPER-MIDDLE-INCOME ECONOMIES: 
Albania, Fiji, Namibia, Algeria, Gabon, Nauru, American Samoa, Grenada, Paraguay, Armenia, Guatemala, Peru , Azerbaijan, Guyana, Romania, Belarus, Iran, Islamic Rep., Russian Federation, Belize, Iraq, Samoa, Bosnia and Herzegovina, Jamaica, Serbia, Botswana, Jordan, South Africa, Brazil, Kazakhstan, St. Lucia, Bulgaria, Lebanon, St. Vincent and the Grenadines, China, Libya, Suriname, Colombia, Macedonia, FYR  , Thailand, Costa Rica, Malaysia, Tonga, Cuba, Maldives, Turkey, Dominica, Marshall Islands, Turkmenistan, Dominican Republic  , Mauritius, Tuvalu, Equatorial Guinea, Mexico, Venezuela, RB, Ecuador, Montenegro

HIGH-INCOME ECONOMIES: 
Andorra, Germany, Oman, Antigua and Barbuda, Gibraltar, Palau, Argentina, Greece, Panama, Aruba, Greenland, Poland, Australia, Guam, Portugal, Austria, Hong Kong SAR, China, Puerto Rico, Bahamas, The, Hungary, Qatar, Bahrain, Iceland, San Marino, Barbados, Ireland, Saudi Arabia, Belgium, Isle of Man, Seychelles, Bermuda, Israel, Singapore, British Virgin Islands, Italy, Sint Maarten (Dutch part), Brunei, Darussalam, Japan, Slovak Republic, Canada, Korea, Rep., Slovenia, Cayman Islands, Kuwait, Spain, Channel Islands, Latvia, St. Kitts and Nevis, Chile, Liechtenstein, St. Martin (French part), Croatia, Lithuania, Sweden, Curaçao, Luxembourg, Switzerland, Cyprus, Macao SAR, China, Taiwan, China, Czech Republic, Malta, Trinidad and Tobago, Denmark, Monaco, Turks and Caicos Islands, Estonia, Netherlands, United Arab Emirates, Faroe Islands, New Caledonia, United Kingdom, Finland, New Zealand, United States, France, Northern Mariana Islands, Uruguay, French Polynesia, Norway, Virgin Islands (U.S.)  

Contact finance@aortic-africa.org for more information.

Please select the correct option below:
AORTIC Membership fees for 2019
300.00
400.00
500.00
750.00
40.00
60.00
90.00
180.00
30.00
30.00
50.00
100.00
30.00
30.00
50.00
100.00
Non-Member Conference Registration Fees

All prices are in US Dollars (USD). AORTIC 2019 is NOT registered for Value Added Tax (VAT).

Registration fee includes:  
Opening Ceremony
Welcome Reception
Poster Session One and Two
Access to all conference sessions
Tea breaks and lunches on all conference days
Access to the AORTIC 2019 exhibition
AORTIC 2019 documentation and collateral 

Registration fee excludes:  
Conference Dinner
Accommodation expenses
Travel and visa expenses
Travel insurance

PLEASE NOTE: 
Those eligible for "Registration Type 1" are: nurses, palliative care workers, students, registrars/residents, and fellows. Everyone else (Dr/Prof/MD/PhD/Physicians) falls under "Registration Type 2".

Please select the fee applicable to you from below.
330.00
670.00
530.00
900.00
380.00
750.00
580.00
950.00
410.00
850.00
610.00
990.00
390.00
510.00
Member Conference Registration Fees
All prices are in US Dollars (USD). AORTIC 2019 is NOT registered for Value Added Tax (VAT).

Registration fee includes:  
Opening Ceremony
Welcome Reception
Poster Session One and Two
Access to all conference sessions
Tea breaks and lunches on all conference days
Access to the AORTIC 2019 exhibition
AORTIC 2019 documentation and collateral 

Registration fee excludes:  
Conference Dinner
Accommodation expenses
Travel and visa expenses
Travel insurance

PLEASE NOTE: 
Those eligible for "Registration Type 1" are: nurses, palliative care workers, students, registrars/residents, and fellows. Everyone else (Dr/Prof/MD/PhD/Physicians) falls under "Registration Type 2".

Please select the fee applicable to you from below.
300.00
610.00
500.00
820.00
350.00
700.00
550.00
900.00
380.00
750.00
580.00
950.00
390.00
510.00
Accompanying Person
Please note the definition of an accompanying person: "A participant’s spouse, partner, child, or other personal relation who does not have a business or scientific interest in the conference."

Please select whether you would like to register an accompanying person below.
Accompanying Person Package
Accompanying Person Package
All prices are in US Dollars (USD). AORTIC 2019 is NOT registered for Value Added Tax (VAT).

Accompanying Person (AP) Package includes:  
Welcome Reception
Poster Session one and two
Two half-day tours

Note: The refreshment breaks and lunches on conference days are only open to conference participants. Accompanying persons are requested to make their own arrangements.
210.00

Name Tag

Visa Support Letter

If you require a Visa Support Letter to assist with your visa application, please complete the following passport related section. Please note that Visa Support Letters will only be issued when full payment for registration fees has been received.

 

AP - Dietary Requirements
Catering at the conference will allow for a wide range of dietary restrictions and preferences (religious, allergy, and lifestyle) with a number of options available at each meal. Please note that no pork products or alcohol will be included in the menus or preparation.

Please answer the following questions to assist us in developing the conference menus.
AP - Do you require a special-order meal?
AP - Do you have any allergies that the kitchen should be aware of?
AP - Do you have any accessibility (disability) challenges?
Social Events
The Welcome Reception is included in your registration package. Please only select additional tickets below if you wish to bring a guest / guests
Welcome Reception (additional guest ticket)
30.00
The Conference Dinner is excluded from your registration package and is an optional, additional purchase. You may purchase more than one ticket if you wish to bring a guest / guests.
Conference Dinner (excluded from participant registration fees)
75.00
Donations

You can make a real difference in the lives of those facing cancer in Africa by donating towards the work that AORTIC does on the African continent. Your contribution will enable AORTIC to further our efforts in controlling cancer and help achieve our goal of a cancer-free Africa. Please consider donating in increments of USD 15.00.

15.00

If you would like to sponsor an African participant(s) to attend the AORTIC 2019 Conference, please select below.

300.00
Help us to help you get the most out of AORTIC 2019
How many AORTIC conferences have you attended?
AORTIC is a dual language association: French and English. Which are you more comfortable communicating in?
What do you most want to get out of the conference programme?
Indicate your area of interest or specialisation:
What is your main area of work?
What is your primary objective for attending the conference?
Summary
Please ensure that your email address is correct, as all your communication is sent via email. If your email address is incorrect you will not receive any communication.
Terms and Conditions
Payment
Please select your preferred payment method of payment below.

Pay Later
The “Pay Later” option means that an invoice reflecting the amount due will be emailed to you for payment, by means of a bank transfer, within 10 days.
Please note that if your payment has not been received by 30 June 2019 for early registration or 30 September 2019 for standard registration, your registration fee will be increased to the prevailing registration rate.


Pay using a Credit Card or PayPal
The “Pay Now” option means that you will be directed to the secure PayPal payment facility (image below) where you can choose to pay with a credit card (Visa or MasterCard preferred) (Option 1) or with your PayPal account (Option 2).
Please note that you do not need a PayPal account to use your credit card in the PayPal payment facility.

 

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Thank you for registering for the AORTIC 2019 Conference. You will receive an email confirmation and invoice/receipt shortly.
Click here to proceed to the AORTIC 2019 Conference website
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