Complete the form below to contact us or to register for an event and we will get back to you shortly.

Full Name *

Email Address *

Contact Number

I am interested in / I would like to register for

HPCSA Number



065 933 9691 (Cell)

082 459 1600 (Nina)

Banking Details

Synapse (Nina Kriel)


Branch: 210519

Account: 62591491677

Please use your name and HPCSA number as reference and email proof of payment to