Price:                                                                                              R_________________

Are you an existing and RegisterEd member?Quote no     _________________

Title of COURSE/SEMINAR being booked                                 __________________

Specify how you came by info regarding course                 __________________

Specify place please (Cape Town,Joburg or Durban)          __________________

Yes! Please BOOK (indicate number of DELEGATES):            __________________

The names of the delegate/s is / are                                      ___________________

____________________________________________________________________________

We want to attand on (Specify date/s please)                       _______________________

We will / will not want to consult with lecturer privately    _________________________

Booking made by (Prof/Dr//Mrs//Miss//Ms)                           __________________________

Company Name;                                _______________________________________________

Address:                                             _____________________________________

Postal code:                                       _________________

Co Tel: ____________________                       Co  Fax:____________________                               

                                    Co  e-Mail:_______________

Signed:_________________                               Date:__________________

Remittance enclosed R_______________________     BY CHEQUE NUMBER __________________

Please debit my/our existing account (no. if known)    ____________

Signed: _______________________________           Date:________ 

(As per authorised signatory)

As we are a corporate client and intend attending all Training During the year Please open an account for us.

 Signed: _____________________________                Date:_________