COMPANY DETAILS
Company/Institution
*
Company VAT REG. no:
Company/Govt. order no. (required for Juta Account orders)
Booking Co-ordinator Name
*
Co-ordinator Email
Invoice Address
*
Contact Number (+27 000 0000)
*
How did you hear about us?
*
LinkedIn
Facebook
Twitter
Juta Website
Juta Business Consultant
Telesales
Other
If Other, please advise:
PURCHASE DETAILS
Number of users (please insert):
*
Please select Package Tier based on the number of users selected above:
1-2 delegates: R3,500.00 per delegate
3-10 delegates 5% discount: R3,325.00 per delegate
11 - 20 delegates 10% discount: R3,150.00 per delegate
21 - 25 delegates 20% discount: R2,800.00 per delegate
Non-profit organisations 20% discount R2,800.00 per delegate
26+ delegates Custom discount - Price on request
List user/s’ full names and valid emails below:
Email required for delivery of FREE e-newsletter subscriptions
PAYMENT OPTIONS
Name of person responsible for payment
Email
Telephone
Department
Payment Options
*
EFT Payment
Credit Card*
Pay on Existing Juta Account*
Debit my credit card no:
*
Expiry Month & Year
*
If you selected "Pay on existing Juta Account", please insert your account number below:
CSV Code (3 digits at back of card):
*
Card Type
*
VISA
MASTERCARD
*Your information will be kept confidential.
TERMS & CONDITIONS
BOOKINGS AND PAYMENT
An invoice will be forwarded to you on receipt of this registration form. If you do not receive an invoice, please e-mail
seminars@juta.co.za
or
call Paula Whitaker on (Mobile) +27(0)83 259 3452; (SB) +27(0) 21 659 2300.
If paying by EFT transfer or direct deposit,
please quote the invoice number as your payment reference
.
Delegates paying by credit card will receive confirmation of their order once the payment has been processed and approved.
The video link, Labour Law Sibergramme e-newsletter, Workbook and CPDs will be issued on receipt of payment