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Course Registration

Registration Form

Contact Form

PERSONAL DETAILS

Title:
Surname:
Other Names:
Company:
Address:

CONTACT DETAILS

Email Address:
Telephone:

Mobile:

Fax:

COURSE REQUIRED

Course Title:

Preferred Date:

NOTE: If you require a group reservation of individuals from the same company, attach list of names, mobile phone numbers and email addresses.

METHOD OF PAYMENT

Cheque—Payable to BAMBACE LTD

For whose attention should the invoice be made?:


Please pay Cheque / Cash to BAMBACE LTD, ZENITH BANK Account No. 6011302351.

NOTE: All Payment must be received ten (10) working days before start of the Course. Failure to do so may result in loss of place.


Please tell us how you heard of the Course. (E.g. WORD OF MOUTH?):


Human Verification:

security code


Upon successful registration, you will be sent joining instructions and any other relevant information. We know that you will enjoy your time with us during the period of the course. Thank you.