Registration Form
Dates: 1-3 March 2023
Venue: A2B Eco Farm, Keerom Farm no 1190, D58, Byrne Valley, Kwazulu-Natal
Contact us:
Email: office@a2btransformation.com
WhatApp: 076 461 3959
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Email *
YOUR INFO
Please fill out your details below.
Name & Surname *
Cellphone number
Company/Organization *
Birthday *
MM
/
DD
/
YYYY
If you have any special dietary requirements, please specify below. 
BILLING INFO
Please specify the billing details.
Are you the person responsible for settling the account for this Module?
*
Required
If someone else is settling the account, please specify their details below.
Name & Surname (of person responsible)
Contact number (of person responsible)
Email address (of person responsible)
VALUE EXCHANGE
If you are on a budget you may want to value exchange your unique services with A2B. This means that you will pay less for your course and, in exchange for the discount, render your services to A2B to the value of a similar amount. 
Do you want to Value Exchange a portion of your course costs?
What service or product would you be willing to Value Exchange to cover a portion of your course costs?
PLEASE REMEMBER to settle the full amount at least 7 days before the course starts. 
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