Test Form – LSSALEAD

+27 (0)12 441 4600 | info@lssalead.org.za

Choose date of Webinar*
- 18 February
- Second Choice
- Third Choice
Untitled
Surname*
First Name*
Gender*
- Male
- Female
Race (required only for statistical purposes)*
- African
- Asian
- Coloured
- White
Email address*
Identity (13 digits no spaces) / passport number*
Cell (10 digits - no spaces)*
Postal address*
City / town*
Provinces*
Category of participant*
Work number*
Your position*
Law firm or company name*
Proof of payment (R650):*
Accepted file types: docx, doc, pdf, Max. file size: 64 MB.
(Word or PDF), EFT payment to Law Society of South Africa Acc no: 6200 9641 079 Bank: FNB Pretoria Branch Code: 251445 Ref: Name & Cell number If an error, email proof to annelie@LSSALEAD.org.za
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161 Lynnwood Road
Corner Jan Shoba
Brooklyn
Pretoria
(Entrance Lynwood Road)