Vista Clinic


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Please complete the registration form below and fax your proof of payment to: (086) 234-6180 or e-mail This email address is being protected from spambots. You need JavaScript enabled to view it. by the closing date the Friday before each workshop.

Payment must be made by direct bank deposit, to:
Vista Academy Cheque
ABSA Bank Centurion
Branch 632005
Account Number 4083426295

Ensure that your proof of payment reflects CPD MC, your name and the date of the MASTER CLASS WORKSHOP you are paying for e.g. CPD MC, W.A. Smith - 18 July 2018.

Once we receive both sets of information your registration will be completed.

Click here to download our "CPD Master Class Workshop Registration Form"

  1. E-Mail Address*
    Please enter a valid email address
  2. Full Name (s)*
    Please enter your name
  3. Surname*
    Please enter your surname
  4. Telephone Number*
    Please enter a valid telephone number
  5. Cellular Number
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  6. Statutory council you are currently registered with:
    Invalid Input
  7. Statutory council registration number:
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  8. Dietary Requirements
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  9. The workshop/s you wish to attend:*

    Please select at least one seminar
  10. Enter the code to validate your submission*
    Enter the code to validate your submission Invalid Input
  11. *

    Please read and agree to our terms & conditions before proceeding.