Registration Form

Courses: Learners - Registration Form

Course Details

Please select the course you would like to attend:
*

Please select the city of the course you would like to attend:
*

Starting date of course:
*

How did you find out about our course?
*

Course Cost: R (excluding VAT) *

Personal Details

Title:	*
Name:	*
Surname:	*
ID number:	*
Email address:	*
Telephone:
Cell number:	*
Fax:
Company:	*
Job Title:
Dietary requirements (if any):

Payment Details

An invoice with bank details will be issued after your registration form has been received.

Please invoice:
*

Please provide the following for your tax invoice

Name of institution (if responsible for payment)	*
VAT registration number of institution or ID number of private person	*
Postal address	*
Street address	*

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I accept that 10% of the registration fee will be levied as transaction and admin fees if I cancel before closing date, that 50% of the registration fee will be levied if I cancel my registration after the closing date, and that the total amount will be charged if I do not attend the workshop. *

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When you click submit, the form will be sent to us for processing. If you do not receive an invoice within 2 days, please contact Bianca Uliana: This e-mail address is being protected from spambots. You need JavaScript enabled to view it or 072 4941841

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Courses: Learners - Registration Form