IT Academy - Computer Training Enrolment and Registration

Please complete the form below to sign-up for your course. Payment options Bank Transfer, Debit Order or Credit Card:

First Name:
Surname:
Contact Tel No:
Contact E-Mail:
Course Title:
Cost:

Method of Payment:		EFT (Bank Transfer) or Debit Order

EFT (Bank Transfer):		EFT (Bank Transfer)

Bank Details:		First National Bank
		IT SA Computer Services & Solutions (Pty) Ltd.
		A/C: 62172352727
		Branch Code: 250057

Please Fax or e-mail Proof of Payment.		0866 55 1304 or info@it-academy.co.za

Debit Order		Debit Order or Credit Card Payment

Debit Order Deposit		35% deposit

Bank Details:		First National Bank
		IT SA Computer Services & Solutions (Pty) Ltd.
		A/C: 62172352727
		Branch Code: 250057

Installments

Please Print and Complete Debit Order or Credit Card Payment Option and return by fax or e-mail::		Debit Order / Credit Card Authority

Please Fax or E-mail Completed Form:		0866 55 1304 or info@it-academy.co.za

Please Read Terms & Conditions:		Terms & Conditions

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