Short Course Booking Form

Company*
Postal address*
Postal code*
Tel*
Fax
Industry sector (e.g. Mining, Food)*
PLEASE BOOK THE FOLLOWING PERSON/S ON THE COURSE* INDICATED:
Name of course*
Date/s*
MM slash DD slash YYYY
1. Delegate’s first & last names*
Designation*
M/F?*
E-mail*
Direct tel nr*
Special dietary needs*
Identity No. (to appear on the certificate)*
2. Delegate’s first & last names
Designation
M/F?
E-mail
Direct tel nr
Special dietary needs
Identity No. (to appear on the certificate)
* A separate booking form should be completed for each course on which delegates are being booked.
For a booking to be CONFIRMED, full payment is required at least 6 working days PRIOR to the commencement of a course so that the necessary administrative arrangements can be made. Until such payment is received, a booking – as evidenced by ITRISA simply receiving this booking form by FAX - is only PROVISIONAL (which means that no arrangements will be made to accommodate the individual/s concerned on the specified course/s, e.g. catering, printing of support materials, etc.). Payment can be made into ITRISA’s bank account (First National Bank, Rosebank Branch, Account No. 50371106467, Branch Code 253305)
Payment method chosen (please select):*
Total amount: R*
A copy of the bank deposit or transfer slip evidencing payment must be EMAILED to ITRISA email: info@itrisa.co.za) along with a copy of this booking form once payment has been effected. Please specify the name of the company or individual (if the latter is attending the course in his/her personal capacity) in the ‘Reference’ section of the deposit/transfer slip.
NOTE: In the event of a confirmed booking being cancelled by the company/delegate concerned within 6 working days of the start of a particular course or a delegate simply failing to turn up on the appointed day/s, a fee of 100% of the course fee will apply. Should the company/delegate concerned decide to book forward to the next scheduled date/s for that course, 100% of the course fee will still apply to the previous course, but the forward booking course fee will be discounted by 50%. All cancellations must be in writing. While ITRISA endeavours to hold courses on their published dates, it reserves the right to withdraw or postpone a course at any time. ITRISA also reserves the right to alter the content and fees of its courses at any time.
CONFIRMATION
Contact person (first name & surname)*
Direct tel nr*
Print Name (Online Signature)*
Date Signed*
ITRISA will acknowledge a booking made (provided this booking form is used) within two days of receipt. If no such acknowledgement is received within this period (because, for example, the booking form was not received in the first place), kindly follow up with ITRISA on tel. 011 807 5317.