Enrolment Form

Program*

Location*

Preferred Dates*

First Name*

Last Name*

Email*

Mobile Number*

Work Phone Number

Employer

Billing*

Please invoice:

Myself
My Employer

Billing Address*

Discounts

Early Bird payments are available until 30 days prior to course commencement. Multiple participant discounts are available for 2 or more participants per program. Please select any applicable discounts:

10% Early Bird Discount
5% Multiple Participant Discount

Payment Options*

Following enrolment, you will receive a tax invoice inclusive of payment options. Please select one or more options from below.

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 instructions. Payment is required no later than 14 days prior to course commencement unless otherwise specified. Early Bird payment is required no later than 30 days prior to course commencement.

Cancellation Policy: A 25% cancellation fee is applicable in the event that cancellation or postponement occurs later 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*

DD

MM

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