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Individual Registration
Please complete the form below to register for the
CMASA Annual Workshop and Conference 2026
SECTION A: DELEGATE DETAILS
First Name
*
Surname
*
Company/Hospital
*
Title
*
--Select--
Mr
Mrs
Ms
Dr
Prof
Organisation's principal business activity
*
--Select--
Funder/Managed Care/Administrator
3rd Party Funder
Private Hospital
Public Hospital
Sub-acute/Rehabilitation Facility
Home Healthcare Service
Pharmaceutical or Device Company
Other
Position in Company/Hospital
*
Email
*
Mobile No.
*
Tel. No. (Office)
*
SECTION B: REGISTRATION FEES
Sponsors: Please select which events you will attend.
Workshop, 6 May
Conference, 7 & 8 May
Conference, 7 May only
Conference, 8 May only
Gala Dinner, 7 May
Members: Please select which events you will attend.
Workshop, 6 May - R1950
Full Conference, 7 & 8 May - R2365
Conference 7 May only - R1925
Conference 8 May only - R1925
Buffet Dinner (pre & post conference) - R370
Gala Dinner, 7 May
Gala Dinner Partner/Guest, 7 May - R650
Non-Members: Please select which events you will attend.
Workshop, 6 May - R2700
Full Conference, 7 & 8 May - R3630
Conference 7 May only - R1925
Conference 8 May only - R1925
Buffet Dinner (pre & post conference) - R370
Gala Dinner, 7 May
Gala Dinner Partner/Guest, 7 May - R650
Please select the days to book for the buffet dinner (pre & post conference)
4 May
5 May
6 May
8 May
9 May
Please apply Early Bird Discount of R100 (I will pay by 28 Feb)
--Select--
Yes
No
SECTION D: ACCOMMODATION
Select your Accommodation
--Select--
None
Southern Sun OR Tambo
Select Accommodation Type
*
--Select--
Single R1616 per person Bed and Breakfast
Sharing R1818 per room Bed and Breakfast
Please Specify Accommodation Details Below
Number of nights
*
--Select--
1
2
3
4
5
6
Accommodation Dates
*
4 May
5 May
6 May
7 May
8 May
9 May
Please confirm the number of guests in the room.
Name and Surname of Guest
SECTION E: QUOTE / INVOICING DETAILS
Dietary Requirements
None
Vegetarian
Strictly Halaal - Surcharges will apply
Other - Surcharges may apply (please advise in comments/requests field)
Other Dietary Requirements
Quote or Invoice Required?
*
--Select--
Quote
Invoice
Company/Hospital Name
*
Physical Address
*
Comments/Requests
SECTION F: CONFERENCE REGISTRATION POLICIES
I have read the Terms and Conditions
*
Yes
No
Payment Information
Amount
R
Payment Method
Offline Payment
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
Card (CVV) Code
*
Card Holder Name
*
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Case Management Society of Australia
Case Management Society of America
American Case Management Association
Case Management Society UK
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Home
About Us
Our Mission & Vision
Our Background
Our Team
Membership
Join CMASA
Events
Annual Workshop and Conference 2026
Chapter Meetings
Gallery
Members Area
Please Log In
Education
Newsletters
Contact
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