If you have any troubles completing the form please call on 061 515 5194 or send a mail to marais@assentcompliance.co.za and we can register you via phone and send confirmation details CommentsThis field is for validation purposes and should be left unchanged.Billing customer type* Organisation / practice Individual / personal Name of contact person*Contact person e-mail* Billing organisation / full name*Enter the exact name to appear on your pro-forma. For a personal booking, enter your full name.Billing email address* The PDF will go here and to the contact email if different.Customer VAT number (if applicable)Leave blank if not VAT registered.Billing address*Include street / postal address, city, postal code and country.Telephone no.*South African numbers are saved as +27.Purchase order / customer reference (optional)Choose your eventsSeminars: R1,950 excluding VAT per delegate per date. November webinar package: R1,500 excluding VAT per delegate. Add attendees separately for each selected event. A 10% group discount applies to an organisation booking two or more delegates on the same event. VAT: 15%.GAUTENG - Seminar 2: Receivables, Credit Management and Collections for the Healthcare Practice Pretoria - Saturday, 17 October 2026 - Protea Hotel Fire & Ice! Pretoria Menlyn; Summit Place Precinct, 221 Garsfontein Rd, De Beers, Pretoria, 0181 Alberton - Friday, 16 October 2026 - Greenfields Guesthouse, 47 Fore Street, Alberton Sandton - Saturday, 28 November 2026 - Protea by Marriott Hotel Johannesburg Balalaika Sandton, Maude Street, Sandown Sandton, 2126 Centurion - Saturday, 7 November 2026 - The Centurion Hotel, 1001 Lenchen Ave, Centurion Central, Centurion, 0046 Vereeniging - Thursday, 10 December 2026 - Three Rivers Lodge & Villa, 52 Golf Road, Three Rivers, Vereeniging, 1935 Roodepoort - Saturday, 12 December 2026 - ANEW Hotel Roodepoort, Corner Of 14th Avenue &, Hendrik Potgieter Rd, Weltevredenpark, Johannesburg, 1739 Click the seminar you want to attendAttendees - Pretoria / 2026-10-17 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Alberton / 2026-10-16 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Sandton / 2026-11-28 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Centurion / 2026-11-07 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Vereeniging / 2026-12-10 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Roodepoort / 2026-12-12 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.GAUTENG - Seminar 3: Practice Management: The Professional, Ethical and Legal Role of the Healthcare Receptionist / Administrator Pretoria - Wednesday, 14 October 2026 - Protea Hotel Fire & Ice! Pretoria Menlyn; Summit Place Precinct, 221 Garsfontein Rd, De Beers, Pretoria, 0181 Alberton - Thursday, 15 October 2026 - Greenfields Guesthouse, 47 Fore Street, Alberton Sandton - Friday, 27 November 2026 - Protea by Marriott Hotel Johannesburg Balalaika Sandton, Maude Street, Sandown Sandton, 2126 Centurion - Friday, 6 November 2026 - The Centurion Hotel, 1001 Lenchen Ave, Centurion Central, Centurion, 0046 Vereeniging - Wednesday, 9 December 2026 - Three Rivers Lodge & Villa, 52 Golf Road, Three Rivers, Vereeniging, 1935 Roodepoort - Friday, 11 December 2026 - ANEW Hotel Roodepoort, Corner Of 14th Avenue &, Hendrik Potgieter Rd, Weltevredenpark, Johannesburg, 1739 Click the seminar you want to attendAttendees - Pretoria / 2026-10-14 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Alberton / 2026-10-15 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Sandton / 2026-11-27 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Centurion / 2026-11-06 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Vereeniging / 2026-12-09 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Roodepoort / 2026-12-11 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.GARDEN ROUTE / EASTERN CAPE - Seminar 2: Receivables, Credit Management and Collections for the Healthcare Practice George - Thursday, 19 November 2026 - George Lodge International, 86 Davidson Road, George, 6530 Gqeberha - Saturday, 21 November 2026 - Dolphins Leap Conference & Events Centre, Dolphins Leap, Shop 14c Dolphins Leap Centre Corner La Roche Drive &, Beach Rd, Humewood, Gqeberha Click the seminar you want to attendAttendees - George / 2026-11-19 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Gqeberha / 2026-11-21 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.GARDEN ROUTE / EASTERN CAPE - Seminar 3: Practice Management: The Professional, Ethical and Legal Role of the Healthcare Receptionist / Administrator George - Wednesday, 18 November 2026 - George Lodge International, 86 Davidson Road, George, 6530 Gqeberha - Friday, 20 November 2026 - Dolphins Leap Conference & Events Centre, Dolphins Leap, Shop 14c Dolphins Leap Centre Corner La Roche Drive &, Beach Rd, Humewood, Gqeberha Click the seminar you want to attendAttendees - George / 2026-11-18 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Gqeberha / 2026-11-20 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.WESTERN CAPE - Seminar 2: Receivables, Credit Management and Collections for the Healthcare Practice Durbanville - Wednesday, 21 October 2026 - The Oakdale Club / Klub | Conference and Function Venue, 80a Bloemhof Rd, Bloemhof, Cape Town, 7530 Cape Town - Saturday, 24 October 2026 - Protea by Mariott Hotel, Cape Town Waterfront Breakwater Lodge, Portswood Road, Victoria & Alfred Waterfront, Cape Town Click the seminar you want to attendAttendees - Durbanville / 2026-10-21 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Cape Town / 2026-10-24 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.WESTERN CAPE - Seminar 3: Practice Management: The Professional, Ethical and Legal Role of the Healthcare Receptionist / Administrator Durbanville - Thursday, 22 October 2026 - The Oakdale Club / Klub | Conference and Function Venue, 80a Bloemhof Rd, Bloemhof, Cape Town, 7530 Cape Town - Friday, 23 October 2026 - Protea by Mariott Hotel, Cape Town Waterfront Breakwater Lodge, Portswood Road, Victoria & Alfred Waterfront, Cape Town Click the seminar you want to attendAttendees - Durbanville / 2026-10-22 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Cape Town / 2026-10-23 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.KWA-ZULU NATAL - Seminar 2: Receivables, Credit Management and Collections for the Healthcare Practice Pietermaritzburg - Thursday, 3 December 2026 - ANEW Hotel Hilton, 1 Hilton Ave, Hilton, Pietermaritzburg, 3245 Umhlanga Rocks - Saturday, 5 December 2026 - Coastlands Skye Hotel and Convention Centre, 1 Vuna Cl, Umhlanga Ridge, uMhlanga, 4320 Attendees - Pietermaritzburg / 2026-12-03 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Umhlanga Rocks / 2026-12-05 / Seminar 2*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.KWA-ZULU NATAL - Seminar 3: Practice Management: The Professional, Ethical and Legal Role of the Healthcare Receptionist / Administrator Pietermaritzburg - Wednesday, 2 December 2026 - ANEW Hotel Hilton, 1 Hilton Ave, Hilton, Pietermaritzburg, 3245 Umhlanga Rocks - Friday, 4 December 2026 - Coastlands Skye Hotel and Convention Centre, 1 Vuna Cl, Umhlanga Ridge, uMhlanga, 4320 Attendees - Pietermaritzburg / 2026-12-02 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Attendees - Umhlanga Rocks / 2026-12-04 / Seminar 3*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.WEBINAR: Receivables, Credit Management and Collections for the Healthcare Practice WEBINAR: Part 1, 2 & 3: Tuesday - 24 November 2026 (12h00 - 14h00); Wednesday - 25 November 2026 (12h00 - 14h00); Thursday - 26 November 2026 (12h00 - 14h00) Attendees - WEBINAR: Part 1, 2 & 3: Tuesday / 2026-11-24 / webinar*Full nameEmail address Add one row per delegate attending THIS event. Enter a full name and email address for every delegate. The number of completed rows determines the quantity charged.Dietary / accessibility requirements (optional)Specify the attendee and event. These details will appear on the pro-forma sent to your billing contact.Booking acknowledgement* I have checked the dates and attendees. Each selected date is charged separately.