Registration Form – CPD Professional Training

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Huis Horison CPD Accredited Training

Naam en Van *

First

Last

Your title *

E-pos adres *

ID / Passport number *

Mobile number *

Contact number (Home) *

SACSSP #

HPCSA #

SANC #

Organisation name *

Kontakpersoon

First

Last

Contact number (Work)

Adres *

Adres lyn 1

Adres lyn 2

Stad

Provinsie

Poskode

Select course *

Workbook language

Wheelchair access required?

Invoice Details

Same as organisation address
Different address

VAT Number

Terms and Conditions

Delegates who are unable to attend the course after registering, may nominate a substitute.
Organisers must be informed in writing no later than 4 days prior to the start of the course.
No refunds shall be given for no shows.

Confirmation *

I confirm that the details submitted are correct and that I understand and accept the terms and conditions

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Registration Form - CPD Professional Training

Terms and Conditions

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Registrasie besonderhede

Kontak Besonderhede

Adres