Pay Online

FILL IN YOUR DETAILS TO PAY ONLINE

Each delegate registers and and pays individually

Delegate Details
Title*
First Name*
Last Name*
Email*
Telephone*
Name of Institute/Hospital/Company/Practice
Address Details
Street Address
Address Line 2
Postal Code
City
State
Country
Delegate Type
Select Delegation Type
Ophthalmologist Fellow of COECSA
Ophthalmologist member of affiliate society in ECS
Associate member of COECSAJTOA/OCOA/Residents
Ophthalmologists from Eastern Central & Southern Africa Non Member
International ophthalmologist (Non ECSA)
Non Ophthalmology Medical Doctor
Allied Health Professional
Exhibitor - Non-Profits
Exhibitor - Corporates
Accompanying Person(s)
No. of People
Accompanying Details
Enter the names of the accompanying people one per line in the following format;
Title, Firstname, Lastname e.g Mr John Joe
Accommodation - Speke Munyonyo Resort Munyonyo Hotel
None
Single
Double
No. of Nights

UserName
Password

Type the Verification Code * verification image, type it in the box