Events
"BEYOND CYBERSPACE" - Seminar Registration Form

First name of contact person *
Surname of contact person *
Company Name
Postal Address
(for invoicing purposes) *
E-mail *
Telephone No *
Mobile No * Facsimile No
Name/s & Surname/s of Participants to be registered Cost p/p Will attend breakfast (yes/no)
1. * R275
/
2. R275
/
3. R275
/
4. R275
/
Select payment option
Electronic funds transfer to Strategy Partners
ABSA Private Bank (630710) Account no. 4056776033
Please show the contact person's name as reference and fax a proof of payment to (021) 914-1246
Payment at venue by cash or cheque

I declare that I have the authority to submit this form. Yes No (please choose)


  		 
 


tel: +27 (0)21 913-8950    | fax: +27 (0)21 913-8954  | email: info@strategypartners.co.za
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