WomanWithin ® Weekend - Registration 2019 Cape Town
Women for Afrika welcome all women and prohibit discrimination based on race, colour, origin, age, religion, disability, sexual orientation and gender identity.
Personal Information
First Name *
Your answer
Surname *
Your answer
Address *
Your answer
Suburb *
Your answer
City *
Your answer
Postal Code *
Your answer
Province *
Your answer
Email *
Your answer
Cellphone *
Your answer
Telephone Work
Your answer
Telephone Home
Your answer
Date of birth *
Please remember to change the year to you birth year
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Occupation
Your answer
Marital Status
Your answer
Do you speak English? *
The Woman Within® Weekend is presented in English.
What is your first language *
Your answer
Weekend Information
I would like to attend the following weekend *
Investment Options
The investment for the weekend is R4900.
This covers international facilitator fees and their airfares, royalties to Woman Within International as well as your food and accommodation, tuition and training material.

Numbers are limited to 32 women per weekend, therefore it is essential to make your payment in full or pay your R1000 non-refundable deposit on registration in order to secure your place.

Your place is only secured with a payment. If no payment is made, you will automatically be placed on the waiting list until we receive your proof of payment.

Payments to be made into the following account:

Account Name: Women for Afrika
Bank: ABSA
Account No: 4062350809
Branch No. 632005
Reference: "Your Full Name" and the word "Wknd"

Your booking will only be confirmed once we receive your proof of payment.
Please send this to: registrations@wfa.org.za.

Payment Plan Options
Plan 1: R200 discount for full payment of R4700 before 20th April 2019.
This includes the R1000 non-refundable deposit.

Plan 2: Non-refundable R1000 deposit with balance due 18th May 2019.

Plan 3: Non-refundable R1000 deposit with individual payment plan.
Please email registrations@wfa.co.za with a payment plan that will work for you.

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Cancellation policy and Securing your place
Cancellation policy *
A full refund, less the R1000 non-refundable deposit, will be made if we receive your cancellation notice in writing no less than 14 working days prior to the first day of the Weekend for which you have registered. If we receive your cancellation less than 14 working days prior to the weekend, you will not receive any refund. Cancellations due to medical reasons will require a medical certificate and you will then receive a full refund, less the R1000 non-refundable deposit.
Securing your place *
Your final payment will be due 14 days prior to the start of your weekend as this is also the cut off for cancellations. If we do not receive your final payment by then, you will automatically be placed at the back of the waiting list. Please note that if you have a payment plan in place this does not apply to you.
Receive Information *
Do you wish to receive information about future Woman Within® or Women for Afrika workshops (if you choose to receive information, we will hold your details in our database and keep you informed of events in the Community. Your details will not be given to any third parties).
Information given is true and correct
Full Name *
By printing my full name below, I agree that all information provided in this form is true and correct (writing your name constitutes an electronic signature which is legally binding under the South African Common Law and The Electronic Communications and Transactions (ECT) Act, as well as legislation relevant to specific transaction types).
Your answer
Date *
Today's date
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Enroll early! Space limited to 32 participants with proof of payment.
A Celebration evening will be held on Wednesday evening after the 2nd weekend at 7pm. You may want to invite your family and friends to be with you on this special occasion to celebrate and honour you! Venue details will be provided to you on your weekend.
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