1. ReLPAG
Recognition of Life Long Learning in
Psychology Action Group
P O Box 5583
Vanderbijlpark Fax: (016) 932 1713
1900 E-mail: psychoadmin@lantic.net
ANNUAL MEETING -REGISTRATION FORMS
REGISTRATION FEE: R150.00
Banking details: Nedbank
Account Name: ReLPAG
Branch Name: Lynnwood
Branch Code: 161 845
Account Number: 1618051156
PLEASE COMPLETE THE FORM AND FAX TOGETHER WITH THE PROOF OF PAYMENT TO DR
JS SCHOLTEMEYER AT: FAX: 086 218 1370
Title:
Initials:
Name:
Surname:
HPCSA registration nr:
Category of registration:
Work telephone number:
Cellular number:
e-Mail address:
Date: 18 February 2017
Time: 10h00 – 14h00
Venue: To be announced