Enrolment Form

"*" indicates required fields

Course Details

Program*

Location*

Preferred Dates*

Participant Details

Number of Participants*

Participant Name*

Email*

Phone*

Participant 1*

Email*

Phone*

Participant 2*

Email*

Phone*

Participant 3*

Email*

Phone*

Participant 4*

Email*

Phone*

Participant 5*

Email*

Phone*

Employer

Payment Details

Invoicing*

Please invoice:

Myself

My Employer

Billing Name and Address*

Payment Options*

Following enrolment, you will receive a tax invoice inclusive of payment options. Please select your preferred payment option(s):

Electronic Funds Transfer (EFT)

Debit or Credit Card

Message

Acknowledgement*

I agree to the terms and conditions below

Payment Policy: A tax invoice will be forwarded following course enrolment inclusive of payment options. Payment terms are 14 days from date of invoice.

Cancellation Policy: A 100% refund is applicable in the event that cancellation or postponement occurs no later than 7 days prior to course commencement. A 20% cancellation fee is applicable in the event that cancellation or postponement occurs less than 7 days prior to course commencement.

Privacy Policy: In line with the Privacy Policy and legislation, all information obtained about applicants/clients, either individuals or organisations, will be kept confidential and not disclosed without the written authority of the applicant/client or unless required to by law.

Date*

CAPTCHA