Creating a Mentally Well Workplace Booking Form for Thursday, 21 November 2024Rate: R2 250 ex VAT per delegateTitle*First Name*SurnamePosition / TitleCompanyVAT Registration NoPostal AddressSuburbProvince- Select One -Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumulangaNorthern CapeNorth WestWestern CapeTelephone Number*Email Accounts ContactAccounts Email Accounts Contact NumberBy completing this form I agree to the T&C's* I agree- Attendance fees are due and payable upon receipt of the Registration/Attendance Form by cancellation date cut off. - Cancellations need to be made in writing a week before the event or delegates will incur a 100% cancellation fee. - ”No shows” are liable for full payment. Substitutes are however acceptible. - Once payment is received, your booking is confirmed.Delegate InformationFirst NameLast NameContact NumberEmail AddressAdd a 2nd Delegate? Yes NoDelegate 2 First NameDelegate 2 Last NameDelegate 2 Contact NumberDelegate 2 Email AddressAdd a 3rd Delegate? Yes NoDelegate 3 First NameDelegate 3 Last NameDelegate 3 Contact NumberDelegate 3 Email AddressCost (Excluding VAT) Per Person Quantity Price: R2,250.00 Quantity TaxTotal R0.00
