ENROLMENT FORM_ONLINE COURSE
CONTACT DETAILS
Please select the following payment options:
Bank Wire Credit Card
Full Name: Course:
Contact Number: E-mail Address:
Amount Payable: Date:
PAYMENT BY BANK WIRE
Please make the deposit/transfer & fax a copy of the transaction slip along with this form to +27 21 418 6470
BANKING DETAILS PLEASE NOTE THE FOLLOWING:
Account Holder 2KO International All course bookings are considered final within 7 days of the course date.
Account Type Current Cancellation after this date will forfeit 100% of the fees
Bank First National Bank
Branch Hout Bay Places on the course are considered provisional until payment is received. Full
payment is required before the due date as per the terms & conditions on our
Branch Code 204-009
website.
Account Number 6202 528 8897
Swift Code FIRNZAJJ948
CREDIT CARD DETAILS
Complete this section if you are paying by Credit Card:
I hereby authorize 2KO International to debit my credit card for the amount as stated above
Credit Card Number: Expires on:
CCV Number: (3 digits on the back of the card) Address:
Passport / ID Number: Signature:
……………………………………………………………….
[ Along with this form please fax the front & back of the card ]
• 124 Westcor Building, Waterkant Str. Cnr of De Smidt Str • Greenpoint • Tel (021) 418 4874 Fax (021) 418 6470