Compu Clearing.pdf

Training Registration Form Register by: Web: http://www.compu-clearing.co.za/Bookweb Phone: +27 11 882 7300 (Colleen) Fax: +27 86 662 9201 E-mail: training@compu-clearing.com Company name …………………………………………………………. Branch ……………………………………………………………………. Address…………………………………………………………………… …………………………………………………………………………….. Postal Code ………….Country………………………………………… Telephone………………………..…………Fax…………..…………… E-mail address……………………………………………………….….. Web address…………………..…………………………………….….. Type of Business Importer Forwarder Clearing Agent Other Compu-Clearing Client Yes No Training Branch Jhb Cpt Training Month Aug Sep Oct Nov I hereby authorize expenditure for the attendant(s) registered on this form* Name………………………………………………… Job Title………………………………..………… … Signature…………………………………..……….. Delegate Attending 1 Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… Delegate Attending 2 Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… Delegate Attending 3 Delegate Attending 4 Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… Delegate Attending 5 Delegate Attending 6 Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… Name…………………………………………… Job Title………………………………………… E-Mail…………………………………………… Culinary Preference…………………………… I have read the Training Pricing Policy (Page 2) and am authorized to sign on behalf of my organization. Registration is ONLY confirmed on receipt of payment * Compu-Clearing customers will receive training at a 50% di