Title:	Prof Dr Mrs Mr Miss
Full Name:	*
Organisation:	*
Designation:
Vat number:
E-mail:	*
Telephone:	*
Postal Address:
Comments:

	Ethics Officer Certification Programme(23 - 27 August 2010)
	Ethics Officer Certification Programme, KENYA (13 - 17 September 2010)

Please indicate if you are:
	ICSA Member		SAICA Member		IRMSA Member
	IoD Member		EthicSA Member

Enter the security code below: (Sorry we have to ask in this day and age of spam)	*

Direct Deposits:
Bank: Nedbank
Branch: Business, PTA
Branch code: 149745
Account number: 149 701 3887
SWIFT Code: NEDSZAJJ
(Please fax deposit slip to (012) 342 2790)

We cannot process your payment until we have received proof of registration – clearly referenced, using your name or e-mail address. Your invoice will be emailed upon receipt of registration.

POSTAGE DETAILS:
The Ethics Institute of South Africa
PO Box 2427
Brooklyn Square, 0075
South Africa

CONTACT DETAILS:
TELEPHONE: (012) 342 2799
FAX: (012) 342 2790