BOOKING FORM

Please fill in the online form below to reserve your space at one of my training sessions. Alternatively, click on the button below to download the booking form as a PDF which you can fax/email back to me once complete.

DOWNLOAD BOOKING FORM

    Please note that a separate form is required for each delegate.
    After receipt of registration form and payment, a confirmation of attendance will be emailed to the delegate.
    Please refer to Section C for payment information.
    Please contact Liane on 011 963 0546 or email admin@psycho-legal.co.za any registration related queries.

    SECTION A: TRAINING COURSE

    SECTION B: DELEGATE INFORMATION

    Names must be as they should appear on certificates.

    SECTION C: PAYMENT

    You will receive an email after submitting this form with banking details for payment. Registration will only be final after full payment has been received. The deposit slip/ proof of payment must be faxed to 0866 848 939 OR emailed to admin@psycho-legal.co.za

    Please note that by clicking "Submit" you accept the following conditions of registration:
    1. The registration form is binding. Once you have signed and returned it, you are liable to pay the registration fee.
    2. Registration closing dates are non-negotiable.
    3. Please note that you can only qualify for a specific rate if payment is received on or before the closing date for that registration period.
    4. Cancellations will only be accepted up to seven days prior to the start of workshop/conference. Any cancellations after this date will not be refundable.
    5. A fee of R250 per delegate is payable for every cancellation.
    6. Substitutions are welcome. A handling fee of R150 is payable for each substitution.
    7. The person whose name appears in the delegate information section on this form is the one who will be registered and held responsible for payment.
    8. Delegates who supply the incorrect names for certificates or who require changes after certificates are issued will be charged for printing, packaging, posting and handling of certificates.