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Paarl La Concorde,
57 Main Road,
Paarl, 7646
Tel:
+27 21 863 0830
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Enrollment form
Course information
Course name:
*
Location (town name):
*
Course date:
*
Delegate details
Delegate 1
Name of delegate:
Delegate ID number:
Delegate job title:
Delegate 2
Name of delegate:
Delegate ID number:
Delegate job title:
Delegate 3
Name of delegate:
Delegate ID number:
Delegate job title:
Delegate 4
Name of delegate:
Delegate ID number:
Delegate job title:
Delegate 5
Name of delegate:
Delegate ID number:
Delegate job title:
Company details
Name
*
Name of farm / company / person whose name should appear on the invoice:
Vat number:
Order number:
Address Line 1:
*
Address Line 2:
Town
*
Postal code:
*
Contact person:
*
Telephone:
*
Cell phone:
E-mail
*
Any cancellations within 48 hours before the start of the course are fully payable. We follow a very strict policy in this regard.
Verification and bank details will be e-mailed prior to the commencement of the course.
The course will be payable before the start of the course. No person will be allowed without confirmation of payment beforehand.
I agree with the mentioned conditions
*
I accept.
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