Elize Morkel - Consultation Group Registration

Registration Form: Consultation Groups

Group that you want to attend
Morning Group (09h00 – 11h00)
Early Afternoon Group (15h00 – 17h00)
Late Afternoon Group (16h00 – 18h00)
Personal Details
Name:
Occupation:
Qualifications:
Telephone Numbers:
Address:
E-mail:
Fax Number:
Place of Work:
Previous Narrative Therapy Training
( Consultation group members of 2011 need not complete this section )
List all workshops, study groups, conferences and academic courses in Narrative Therapy:

Payment Details
Deposit:		R on or before
Method of Payment:		Cash Cheque Internet Banking

Declaration:		I undertake to pay the amount of R