2024 Student Registration Form
Please complete all fields
电子邮件地址 *
Student Name and Surname *
Contact Number *
City and Province  *
Choose your Accredited Certificate Course
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Choose your training venue and training date : *
Choose your preferred training date : *
Registration fee is R1000
Herspace Wellness, Nedbank cheque Acc #1080207848, branch code 198765
Whatsapp proof of payment to 067 611 4820 
Payment Reference
Use your Name and Surname as payment reference
Whatsapp 067 611 4820 / Tel 041 581 0471
Email: herspacewellness@gmail.com
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