MASAC Meeting and Education Day – REGISTRATION FORM – PwBD

MASAC VIRTUAL SUMMIT AND ONLINE EDUCATION DAY - 5th and 6th NOVEMBER 2020

REGISTER TODAY! – Connecting the Global Bleeding Disorders Community

This series of live and recorded sessions will allow you to connect with the community and increase your knowledge from the comfort of your home.

WEBINAR LINK: TO BE ADVISED
TELEPHONE NUMBER: 011 9772600

Particulars of member

First Name(required)

Name of Hospital you attend(required)

Email address(required)

Profile(required)

Person with bleeding disorder

Family member

Last Name / Surname(required)

Job Title(required)

Mobile Contact No.(required)

Would you like to be added to our mailing list for future news and events?(required)

Yes

Registration to attend is FREE!
However, donations for this inspiring event, which will be full of new and exciting sessions are welcome.
Please EFT your kind contribution to:
Standard Bank Constantia 025309; acc no 076240789; SA Haemophilia Foundation. Payment reference: lastname+MASAC2020
DEADLINE FOR REGISTRATION: 1 August 2020
NB: Please return the REGISTRATION FORM at your earliest convenience to allow us to confirm numbers with our video conferencing vendor.
If you any any questions regarding the event please email: SAHFadmin@haemophilia.org.za

This field should be left blank