Training:

Dates for 2012 training will reflect soon.

TRAINING APPLICATION FORM

IMPORTANT NOTES
Please read carefully

• One application form per applicant.
• Training Dates are an estimate and will be confirmed once a minimum of 4 students have registered.
• An exam will be given at the conclusion of the training and a MultiCam certificate will be given.
• The course includes the following: (1) Training material, (2) Lunch and tea/coffee, (3) MultiCam Certificate.
• Please complete all the fields.

Full Names:
Surname:
ID number:
Company Name:
E-mail Address:
Telephone Number:
Fax Number:
Cell Number:
Postal Address:
Physical Address:
Your company Order Number for training:
Please select Course Attending & Course Date:		Operator Training		Date: Please Select your Dates 1 – 3 September 2010 6 – 8 October 2010 10 – 12 November 2010 8 – 10 December 2010
		EnRoute 3 Training		Date: Please Select your Dates 15 – 17 September 2010 20 – 22 October 2010 24 – 26 November 2010
		VisualMill / RhinoCAM Training		Date: Please Select your Dates 15 – 17 September 2010 20 – 22 October 2010 24 – 26 November 2010
		Rhinoceros Training		Date: Please Select your Dates 15 – 17 September 2010 20 – 22 October 2010 24 – 26 November 2010
Contact person (Training) in your company:		Name
		Position in Company
		Cell number
		ID number
		E-mail Address
		Security Code:

Training Cost: R3600.00  per applicant excl VAT (cost can change without notice)
A cancellation fee of 10% is applicable.

For registration to be confirmed, deposit required amount into the bank account a week prior to training date:

CDAS Elektro – Meganiese Werke
ABSA Somerset West
Branch Code: 334 712
Account Number: 406 339 8410

Email proof of payment to chantelle@multicam.co.za