Registration by monkey6

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									                                                   LEARNER REGISTRATION FORM




              MANAGING PROFESSIONAL AND PERSONAL INTERACTION


A)      Three (3) Day Induction Courses for 2004

Indicate date preferred:

 Jan   15, 16, 17 Gauteng     May    27, 28, 29 Gauteng       Sept 9, 10, 11 Gauteng
Feb    19, 20, 21 Gauteng     Jun   24, 25, 26 Durban         Oct 7, 8, 9 Durban
Mar    18, 19, 20 Gauteng     Jul    8, 9, 10 Gauteng         Nov 11, 12, 13 Gauteng
Apr    15, 16, 17 Cape Town   Aug   12, 13, 14 Cape Town      Dec 9, 10, 11 Gauteng




Name/s: _______________________________________________________________________

          _______________________________________________________________________

Organisation: ____________________________________________________________________

Postal Address: ___________________________________________________________________

Physical Address: _________________________________________________________________

E-mail address: ____________________________Tel:____________________________________

Mobile: __________________________________ Fax: __________________________________


B) Individual Module: (list the module that you wish to attend) *

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Payment Terms:

      15% deposit is required on registration.
      Full payment due 14 days before the course commences.

Cancellations:

      15% deposit is non- refundable.
      Full refund will only be granted for cancellations received 21 days or more before the event.
      50% refund will be granted if a cancellation is made 7 days prior to the course.
       Postponement of attendance to a later course can be arranged, although you will forfeit your
       15% deposit.
      Notification of cancellation must be offered to the office in writing.
      A substitute delegate is welcome.

No-Show Policy:

      No refund policy to a registered Learner who does not arrive on the first day of the
       workshop. If such Learner can provide a doctors certificate or a case number, the provider
       will allow transfer of funds to another scheduled course.

      Should a Learner not return to the second day or third day of the workshop, he/ she will not
       complete the course and will need to register for another scheduled course with full
       payment. There will be no refund.

       (The above is subject to the Trainer’s decision based on the merit of the absenteeism.)

Nutritional requirements:

Please stipulate any special food preparations:
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Number of attendees: _______________@:________________= R______________

Deposit enclosed (15% of Total): R_____________ Balance due: R______________


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             Full Name/s                            Position



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            Signature                                     Date

								
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