EmailMe Form - REVUE-KURSUS/REVUE WORKSHOP

Naam en van van persoon wat bespreking hanteer/
Name and surname of person making the booking *

Skool/School *

Posisie/Position *

E-pos van skool/School's e-mail *

Fisiese Adres/Physical Address *

Persoonlike e-pos/Personal e-mail *

Tel

Sel/Cell *

Naam en van - skoolhoof/
Principal's name and surname *

Tel

Sel/Cell

E-pos/E-mail *

BESPREKING/BOOKING

	Aantal persone/Number of people	Totale bedrag/Total amount
1 - 3 persone/persons @ R950.00 p.p.
4 - 5 persone/persons @ R850.00 p.p.
6 - 10 persone/persons @ R750.00 p.p.
10/+ persone/persons @ R650.00 p.p.

EK WIL GRAAG VIR DIE VOLGENDE PERSONE BESPREEK/ I WOULD LIKE TO BOOK FOR THE FOLLOWING PEOPLE

	Naam en van/Name and surname	Posisie in Revue/Position in Revue	Sel/Cell	E-pos/E-mail
Persoon/Person 1
Persoon/Person 2
Persoon/Person 3
Persoon/Person 4
Persoon/Person 5
Persoon/Person 6
Persoon/Person 7
Persoon/Person 8
Persoon/Person 9
Persoon/Person 10

VERBLYF/ACCOMMODATION

Ons het spesiale tariewe by die Mannah Konferensiesentrum vir Revue Kursusgangers beding indien u belangstel om oor te slaap./
We have negotiated special rates at the Mannah Conference Center for Revue Course Attendees if you are interested in staying overnight.

Stel u belang in verblyf by die Mannah Konferensiesentrum?/Are you
interested in accommodation at the Mannah Conference Centre?

Ja

Nee

BESPREKING/BOOKING

	Aantal kamers/Number of rooms	Totale bedrag/Total amount
Enkelkamers met Ontbyt – R950 per persoon (Slegs vir 1 persoon)/Single rooms with Breakfast – R950 per person (Only for 1 person)
Dubbelkamers met Ontbyt – R1 200 vir 2 persone per kamer (R600 per persoon wat deel)/Double rooms with Breakfast – R1 200 for 2 persons per room (R600 per person sharing)

TOTALE BEDRAG VERSKULDIG/TOTAL AMOUNT DUE

	Bedrag/Amount
Revuekursus/Revue Course
Verblyf/Accommodation
TOTAAL/TOTAL

Betaal asseblief die volle bedrag in die volgende bankrekening in/Please pay the full amount into the following bank account::

LEFRA PRODUKSIES
ABSA TJEKREKENING/CHEQUE ACCOUNT
TAKKODE/BRANCH CODE: 632 - 005
REK. NR./ACC. NR.: 4099 581 524
VERWYSING/REFERENCE: Revue/Skool se Naam/Name of School
STUUR BETALINGSBEWYS AAN/PLEASE SEND PROOF OF PAYMENT TO: bestuur@lefra.com

EK ONDERNEEM DIE VOLGENDE/I UNDERTAKE THE FOLLOWING:
1.) Om die volle bedrag so gou as moontlik in die gegewe rekening te betaal/To pay the full amount as soon as possible into the given account.
2.) Ek word aanspreeklik gehou vir die aantal persone waarvoor ek bespreek het/I am held liable for the number of persons I booked for.
3.) Geen kansellasies word aanvaaar nie en geen fondse sal terugbetaal word nie. Plaasvervangers word egter aanvaar./No cancellations will be accepted and no funds will be refunded. However, substitutes are accepted
4.) Om betyds vir die kursus op te daag en die volledige kursus te voltooi/To arrive on time for the course and complete the entire course.
5.) Dat die revuekursus uit die volledige kursus, ligte middagete en bywoningsertifikaat sal bestaan/That the revue course will consist of the full course, light lunch and certificate of attendance.
6.) Om die bepalings en voorwaardes te aanvaar/To accept the terms and conditions.

Hiermee verklaar ek dat ek al die bepalings en voorwaardes gelees het en sal nakom./I hereby declare that I have read and will comply with all the terms and conditions.