Registration will be secured only on receipt of full payment.
Please send all communication, registration information and deposit slip information via
e-mail:
registration@mushroomacademy.com
Bank account details for direct deposits:
Account name:
Cape Connoisseur Champignons (Pty) Ltd
Registration number 1967/010120/07
Trading as the South African Gourmet Mushroom Academy
Bank:
Standard Bank
Branch:
Stellenbosch
Branch number:
05-06-10
Account number:
073-005-878
Type of account:
Current
Please fill in the required information below:
Choose a course date:
20-22 January – Registration and payment deadline:
31 December 2009
17-19 February – Registration and payment deadline:
31 January 2010
17-19 March – Registration and payment deadline:
28 February 2010
14-16 April – Registration and payment deadline:
31 March 2010
19-21 May – Registration and payment deadline:
30 April 2010
21-23 July – Registration and payment deadline:
30 June 2010
18-20 August – Registration and payment deadline:
31 July 2010
15-17 September – Registration and payment deadline:
31 August 2010
13-15 October – Registration and payment deadline:
30 September 2010
10-12 November – Registration and payment deadline:
31 October 2010
Title:*
Surname:*
Initials:
First Name:*
Highest academic
qualification:
Occupation:
Nationality:
ID or passport no:
Date of birth:
Special dietary restrictions / Allergies:
Address:*
City:*
Province/State:*
Country:*
Telephone (Office):*
(Eg. +27218869880)
Telephone (Home):
Cellular:
Fax:
E-mail:*
Company:
VAT number:
Estimated time of arrival*:
Additional Comments/Requests:
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