Join WOLELA
Registration form to join WOLELA
Email address *
What's your name? *
Your answer
What's your surname? *
Your answer
Which city will you attend sessions in? *
What's your firm/ organisation? *
Your answer
What's your role? *
Your mobile number please! We don't spam ppl ;-) *
Your answer
What type of membership would you like? *
Required
Do you agree to these Terms & Conditions? Please read them at http://wolela.co.za/?page_id=1195&preview=true *
Once off payments are done via EFT. Monthly requires you to register your credit or debit card details on Payfast for monthly debits. For EFT's: CIL bank account details Nedbank Account Name: Centre for Integrative Law Account Number: 104 696 4461Branch number: 198765 Please use YOUR name as the reference. *
Next
Never submit passwords through Google Forms.
This form was created inside of Centre for Integrative Law. Report Abuse - Terms of Service - Additional Terms