Event Booking Form

    Registration

    Event Name:
    Please confirm if your booking is for:
    Date Of The Event:
    Fee per delegate:
    Number of delegates:

    Fee includes Certificates of Completion, tea / coffee & refreshments; lunch and session material secured parking.
    Early Bird Fee:

    FEE, please ensure that your company will be able to make payment within the time frame given for the early bird fee to be paid for this event before you register, alternatively register for normal course fee.

    Organisation and Delegate Information:

    Organisation:
    VAT No:
    Postal Address:
    Postal Code:
    Contact Person:
    Contact Number [Cell]:
    Contact Number [Landline]:
    Fax Number:
    Email:
    Name and Surname

    Designation

    Delegate(s) Email Address

    Delegate(s) Mobile Number
    Name and Surname

    Designation

    Delegate(s) Email Address

    Delegate(s) Mobile Number
    Name and Surname

    Designation

    Delegate(s) Email Address

    Delegate(s) Mobile Number
    Name and Surname

    Designation

    Delegate(s) Email Address

    Delegate(s) Mobile Number

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