Welcome to the course registration page

Account Type:
Business Account(?)
Personal Account

Title:

Initials:

First name:

Surname:

Company:

Company Registration Number:

Id Number:

Age:

Physical Address Line 1:

Physical Address Line 2:

Suburb:

Town:

Postal code:

Tel (Home):

Tel (Work):

Tel (Cell):

Email Address:

Repeat Email Address:

Level of Academic Education:
  St.8 / Gr.10 Passed
  St.10 / Gr.12 Passed
  Technical College
  3 Year Diploma Passed
  4 Year Degree Passed
  Other
Specify:

Praktical Experience (if any):
  Qualified Artisan
  Qualified Technician
  Existing Installer 0-12 Months
  Existing Installer +12 Months
Specify:

Select when you prefer to start your course/s:
  Starting Immediate Online (Level 1/2/3)
  30 April 2012 - Pretoria
  04 June 2012 - Pretoria
  11 June 2012 - Cape Town
  02 July 2012 - Pretoria

Combination Courses:
  Levels 1 - 3 online @ R1'500
  Level 1 - 4 (1-3 online) @ R2'500
  Level 1 - 4 all at facility @ R3'500
  Level 1 - 5 (1-3 online) @ R4'500
  Level 1 - 5 at facility @ R5'000

Please tell us your reason for enrolling:
Answer in this space...

Include Measuring Equipment if any:
Please select… 1 x Satlook Micro G2 @ R4000 1 x FS1 Satellite Meter @ R3500

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Payment Method:
  EFT (Electronic Funds Transfer)
  Cash Deposit

Zinenetix Banking Details:
Bank: First National Bank
Branch: Table View (203-809)
Account no: 6233 733 4924
Reference: First six digits of your ID or passport

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Once you're certain all the information is correct, you completed all the required fields and you have read, understand and accept our Terms and Conditions, simply enter the verification code and hit the "SEND" button. We'll acknowledge receipt of your form via return mail shortly.

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Type the text you see below:(?)

  I accept Zinenetix's Terms and Conditions

  I acknowledge that I will be responsible for my own accomodation plus transport to and from the venue for the duration of the course