Short Course Enrolment_

Course Details

Course name

Course Type

First name*

Last name*

Street address*

Country / Region*

Province*

Town / City*

Postcode / ZIP*

Phone*

Email address*

Use a different billing address

If you would like a different address to appear on your invoice.
Please check the box and add the additional details below.

Product	Subtotal
Full Web Package instalments	R 34 260,00
Subtotal	R 34 260,00
Total	R 34 260,00

Direct bank transfer

Make your payment directly into our bank account. Please use your Order ID as the payment reference.

I have read and agree to the short course terms and conditions

I understand that it is my obligation to pay