Kindly complete the form belowPlease enable JavaScript in your browser to complete this form.Personal InformationNames *Membership No. *Member?MemberNames Membership No. Member MemberNamesMembership No. *MemberMemberNames Membership No. Member MemberNames Membership No. MemberMemberCompany InformationCompany *VAT Number *Postal Address *Email Address *Telephone Number *Fax Number *Cover fees: P 2,900.00BICA Banking DetailsAccount Number: 9060000684207Account Name: BICA MainBank: StanbicBank Swift Code: SBICBWGXBranch: FairgroundBranch Code: 064967 Please note, that if payment is made electronically, ensure that you attach proof of payment. NB; Please note, a link for the online CPD platform will be sent to you once payment has been confirmed.Attach Proof of Payment * Click or drag a file to this area to upload. Submit Form Now