Registration page

Thank you for registering for one of Ezrah's online courses. Please make sure to fill out the correct details so that we can process your order as quickly as possible.

If you have any questions, please contact us at info@ezrah.co.za.
 
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Email *
What is the course you would like to order?
*
Please tick the correct course name.
Ethical commitment:
By registering for this course, you agree to the following:
*
Required
 Your name and surname (for certificate)
*
Phone number *
Preferred contact method *
Required
SACSSP or HPCSA number (if applicable)
Preferred payment method
*
Do you require an invoice?
*
Any other information you would like us to know:
A copy of your responses will be emailed to the address you provided.
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