Your Name and Surname
Work Phone Number
Where are Your Currently Working?
Your Current Position in the Company
Register for the Seminar:
(Please note that a maximum of 30 participants will be accepted for each event.)
25 & 26 July 2013 - Pretoria
How Did You Find Out About This Event:
Strategic Leadership Institute Website
SMS / Text Message
Friend or Collegue
If referred by a previous participant, please provide their contact detail.
Have You Previously Attended a Seminar or Other Event Facilitated by Us?
(If "yes", please specify what and when)
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