Bicon SA - REGISTRATION FORM: Bicon 2-Day Course

Please select which course you would like to attend:
  DURBAN - 2-Day Course: 28-29 May 2010

Name:
Surname:

Practice Address:

 
 

Tel No with dialing code:

Fax No with dialing code:

Email address:



Terms and Conditions:

Price of the course is R 2,500.00.
The course is sold on a "first come first served basis".
The courses are limited to 8 participants per course.
The fee is not refundable one month prior to start of the course.

You must accept the above Terms and Conditions before your request is sent to Bicon SA:

  I have read, understand and accept the above Terms and Conditions.