Sheet1 Amazon Web Services V6 2012 PRO FORMA INV by xiuliliaofz

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									                                                                                                                                                             V6

                   2012 PRO-FORMA INVOICE REQUEST
EARLY BIRD SPECIAL: Pay 2011 fees when you register and pay for 2012. Register
          and pay in full by 10am on Wednesday 21 December 2011.
    Please indicate below whether you require an Early Bird Pro Forma Invoice, or a 2012 Fees Pro Forma Invoice
        Early Bird,                  Yes                                                                         2012 Fee,                          Yes
     Proforma Invoice                 No                                                                     Pro Forma Invoice
                                                                                                                                                    No

   Date                         :



   For Attention                :


   Company                      :
   Address                      :

                                                                                                                          P.O. Box 91820


                                                                                                                          Auckland Park
   Postal Code                  :                                                                                         2006

   VAT Number                   :                                                                                         Helpdesk:           0861 466 476

   Tel :   '                    :                                                                                         VAT Reg No. :4740219409
   Fax : 7                      :
   Email: 8                     :

   Student First Name           :

   Student Surname              :
   Student No.                  :

   Course                       :

   Subject/s                   1.                                                                      5.

                               2.                                                                      6.

                               3.                                                                      7.

                               4.                                                                      8.



Please indicate whether you require to make payment for one of the following services by entering the word "Yes" in the appropriate block:-

                 Reference                                                 Description                                          Fee                Yes
Tutorial Fee                                     Statistical Analysis & Financial Management                               R     715.00
Tutorial Fee                                     All other modules                                                         R     500.00
Private Invigilation Fee                         Private Invigilation students only - South Africa                         R 1,000.00
Private Invigilation Fee                         Private Invigilation students only - Rest of Africa                       R 1,000.00
Private Invigilation Fee                         Private Invigilation students only - Overseas                             R 1,000.00
Scribe Cost                                      Scribe fee per subject - students with medical certificates               R     350.00
               Once completed please return this form by email to proforma@immgsm.ac.za or fax to 086 692 2223

								
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