Name of the Event (required)

    Date of Event (required)

    First Name (required)

    Surname (required)

    Email Address (required)

    Company (required)

    Telephone Number (required)

    Fax Number (required)

    Mobile Number (required)

    VAT Number (required)

    Postal Address (required)

    City (required)

    Code (required)

    Dietary Requirements

    Are you an OPSA Member?

    Email address of person dealing with correspondence

    Email Address of person responsible for the account

    I hereby acknowledge that I understand and agree to the terms and conditions of my registration.

    Please note that payment must be received before the event. Government orders are accepted.

    Cheques made payable to:
    Siyanqoba Seminars,
    PO Box 263,

    Bank transfer: Siyanqoba Seminars
    Bank: Standard Bank
    Branch: Lynnwood Ridge (012445)
    Account number: 012216755

    A 10% administration fee will be charged on all cancellations. All cancellations must be received in writing 10 working days before the event. Thereafter the full training fee is payable. Delegate substitutes are welcome at any time. If you do not receive communication outlining participation details one week prior to the event, please contact Siyanqoba on
    012 998-3668/0345.

    Siyanqoba reserves the right to change the date or cancel an advertised course without liability.