Invite Dr Melodie de Jager

Kindly include as much information as possible:

GENERAL DETAILS

Name of School/Business:

Province:

Address of venue:

Contact person & number:

Please indicate field of interest:

  • Pre School
  • Foundation
  • Intermediate
  • Senior phase

Target audience:

Estimated group size:

Objective of talk:

Preferred date (kindly suggest 3 dates please):

Preferred time:

Duration of talk:

Will tickets be sold for this event?

If yes, what is the cost of the tickets?

INVOICE DETAILS:

Name to appear on invoice:

VAT number (if applicable):

Address:

Additional information:

Contact person for booking requests:

Carol Mofolo: 011 888 5434 / admin@mindmoves.co.za