Name of the Event (required)

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First Name (required)

Surname (required)

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Telephone Number (required)

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Dietary Requirements
VegetarianHalaalKosherOtherNone

Are you an OPSA Member?
YesNo

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,
Menlyn,
0063

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.