Skippers course booking form

Organised and presented by Pieter Welgemoed:
Tel. +27 83 731 1146
Mail. skipperticket@gmail.com

A deposit of R500 is required to register for the course and include course material, lecture, meal, theoretical test, SADSAA fees and practical component. Complete the online form below to book your seat for the next 2-day** course on 7/8 February or to enquire when the next one will be held.

Individual courses
Contact me directly if you would like to arrange an individual course on a date suitable to both of us.

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** PLEASE NOTE
IF DAY 1 IS ON A FRIDAY, DAY 2 WILL BE THE NEXT DAY.
IF DAY 1 IS ON A SATURDAY, DAY 2 WILL BE THE FOLLOWING SATURDAY.

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All fields with an asterisk (*) are compulsory and has to be completed.
 

Skippers Course Booking Form NAME & SURNAME * ID NUMBER * POSTAL ADDRESS *   (Remember town name and postal code) HOME TELEPHONE * MOBILE NUMBER * WORK TELEPHONE FAX NUMBER EMAIL ADDRESS * SELECT YOUR COURSE CATEGORY * Category B  (15-40Nm) – R3250.00 Category C  (5-15nm) – R3250.00 Category E  (1nm) – R2950.00 Category R  (lagoons, estuaries, harbours and inland waters) – R2950.00 Upgrade (R to E OR C to B) – R2450.00 In order to register for the course, a deposit of R500.00 is required. The above cost include course material, lecture, theoretical test, SADSAA fees, practical component and meal. There are no other costs involved except in the event that we need to supply a boat and skipper for a fee of R150. BOOKING OPTIONS * I want to book for the Course on 7/8 February I want to book for the Course on 28 February/1 March I want to book for the Course on 14/15 March Please let me know when the next course will be held? BANKING DETAILS Method of Payment EFT payment Bank ABSA Branch 632005 Account Name MMS Skipper Account Type Savings Account Number 9390029490 Reference Initial + Surname + Date of Course     SECURITY CODE Please enter the security code in the space provided below.