Course Booking

    Please provide us with as much detail as possible, in order to attend to your booking promptly.

    Fields marked with an * are required fields. Mark with N/A if not applicable.

    Name & Surname*:

    Phone Number:

    Email Address*:

    In which country do you reside?*



    I want to make a booking for the following course(s)*:
    (to select more than one course, press CTRL while selecting each course name)



    Please provide us with a short summary of your Agile experience*:
    (this information is required due to the prerequisites on some classes)



    Where did you hear / read about the course?*



    INVOICE DETAILS
    Name to reflect on invoice / Employer Name:

    Invoice Address:

    VAT number (if you require a VAT invoice):

    Non-SA customers may be billed through PayPal. Please provide us with your PayPal email address.



    Message / Additional information:

    Thank you for registering to attend a class with Centre for Agile Coaching.

    Fields marked with an * are required fields.

    Refunds and Cancellations - Terms and Conditions.



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