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WORKSHOP BOOKING FORM
Date faxed/emailed: ………/………/20………
Complete the following information and email to andrew.sekhu@dreamsinmotion.co.za or fax to 086 650 3455. Cost per person is R150.00.
YOUR NAME AND SURNAME: ……………………......................…………………………..
YOUR TELEPHONE NO: ……………………………………………………......................…….
YOUR EMAIL ADDRESS: ……………………………………………………......................……
Names & Surnames of delegates:
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Name of workshop |
Venue |
Date |
# of delegates |
Total AMT |
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1. Take Charge! |
Pretoria |
31/07/2010 |
|
R |
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Total payable |
R |
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