Course 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		Select One... 3 Months 6 Months 9 Months 12 Months
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
Security check: [ Different Image ]