Request edit access
Understanding Cerebral Palsy
Wednesday, 26 February 2020
First name: *
Your answer
Surname: *
Your answer
Email address *
Your answer
Contact number (No spaces between digits e.g. 0215104686) *
Your answer
Organisation (If applicable):
Your answer
Name/s of attendee/s and if applicable, HPCSA or SACSSP number/s: *
Example: William Tell - "HPCSA number"
Your answer
Are you or your organisation a member of the WCFID? *
Please include your WCFID membership number (If applicable):
Your answer
Thank you for booking, the WCFID values your support
Payment options:
- Cash/ Yoco Card System (at the training venue),
- SnapScan (at the training venue or online),
- EFT/Bank Deposit. Due to excessive bank charges on cash deposits made at the bank counter,
please do not deposit cash in this way.

Account Holder: Western Cape Forum for Intellectual Disability
Bank: Standard Bank
Branch: Mowbray
Branch Code: 024 909
Type of Account: Current
Account Number: 071 300 643
Branch Telephone Number: 021 689 4108

Please use: '26 Feb Training' & your name or organisation's name as a reference.

Members: R30.00
Non-Members: R100.00 00
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy