Home / The future of antiretrovirals in Africa: Long acting agents and beyond The future of antiretrovirals in Africa: Long acting agents and beyond REGISTRATION DETAILSTitle First Name Surname Organisation Job title / designation Council Number Category of Employing Institution/ Organisation/Business Category of Employing Institution/ Organisation/Business PublicPrivateNGOOtherEmail Phone/Mobile BILLING DETAILSOrganisation Name Billing Contact Person Billing Contact Telephone Vat Number Billing Contact Email Billing AddressBilling Address City Province Postal Code Country Select CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweSOUTHERN AFRICAN HIV CLINICIANS SOCIETY MEMBERSHIP Yes I am a member No I am not a memberSA HIV Clinicians Society Membership Number Would you like to join SAHCS? Membership fees apply R1000 per annum for doctors / R500 per annum for nurses and allied health professionals - Select -YesNoREGISTRATIONConference Registration Fee SAHCS Member (in good-standing) registration fee @ R 510,00 Non-Member registration @ R 600,00Dietary requirements (if applicable) - Select -NoneVegetarianHalaal (friendly butcher)Halaal (strict-certified)KosherOtherIf "Other" please specify: TERMS & CONDITIONSRegistration: Upon submission of a registration, the applicant accepts responsibility for full payment of the registration fee without prejudice. Given the proximity of the Conference no cancellations will be considered, and the delegate will be liable for the entire fee. Replacements: If the delegate is unable to attend the Conference, a substitute delegate is welcomed at no extra cost provided written notification is sent to janice@sahivcs.org no later than 5 September 2022. I confirm that I understand the terms and conditions, including the cancellation termsPrivacy policy I agree to receiving information mailers from SAHCS (tick to accept, or leave unticked to decline). To view the SAHCS privacy policy please click hereSubmit Form