Johannesburg Workshop Booking Form 2019
  1. Name(*)
    Please let us know your name.
  2. Surname(*)
    Please let us know your surname.
  3. Contact Number(*)
    Please let us know your telephone number.
  4. Mobile Number(*)
    Please let us know your mobile number.
  5. Your Email(*)
    Please let us know your email address.
  6. Do you have a special diet?(*)




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  7. Specify if you checked other
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  8. Will you be bringing a companion?

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  9. If you answered yes to companion, please give the following details:

     

  10. Name and Surname
  11. Contact Number
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  12. Please select the workshop / initiation you will be attending(*)


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