Request edit access
Recorded Webinar:  Mental illness and the person with intellectual disability - The benefits of psychotherapy support for all, 18 September 2024 Presenter: Dr Ockert Coetzee, Clinical Psychologist, Alexandra Hospital, and Senior Lecturer, Department of Psychiatry and Mental Health, Division of Intellectual Disability, UCT
Sign in to Google to save your progress. Learn more
Email *
Name *
Surname *
Organisation (if applicable)
Contact number (no spaces e.g. 0215104686) *
Are you a WCFID member? *
Include your membership number (if applicable)
Would you like to apply for membership for the period: 01 April 2024 to 31 March 2025?
Clear selection
Has the cost of this webinar been paid? *
If you not paid for this webinar, an invoice will be sent for payment. Please add: Name; Physical Address; Contact Person; Email Address; Contact Number and VAT Number (if applicable). If these invoice details are on the WCFID's records, you do not have to complete this section.
Should you have any questions, please contact: Shakira Khan

COST: Members 50,00 & Non-members R120,00.

When paying, please add: Individual or Centre or Organisation name and this WCFID PAYMENT CODE: Train/18/09/24

A few examples of payment references for this webinar: 
1. J Smith/Train/18/09/24
2. AB Centre/Train/18/09/24
3. CD Org Train/18/09/24

If payment for the webinar has already been received by the WCFID, there is no additional cost for the recorded webinar.
Using SnapScan to pay? Payment is a SCAN away! 

When paying please add: individual or centre or organisation name and this WCFID Payment Code: Train/18/09/24

A few examples of payment references for this webinar: 
1. J Smith/Train/18/09/24
2. AB Centre/Train/18/09/24  
3. CD Org/Train/18/09/24
WCFID BANKING DETAILS:

Bank: Standard Bank, Rondebosch

Branch Code: 51001

Account Holder: Western Cape Forum for Intellectual Disability (WCFID)

Current Account Number:  071 300 643

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms