Module Order FormPlease enable JavaScript in your browser to complete this form.Title *Mr.Mrs.Ms.Name *FirstLastEmail *EmailConfirm EmailStudent Number *Mode of Delivery of Books (Delivery cost is for student's account) *Collect at Church where classes are presentedCourierPostWill make arrangements with Pieter WheelerIf not collecting, please supply physical or postal address for deliveryMark Module Required: Christian Religious Professional NQF level 5 M 01M 02.1M 02.2M 02.3M 02.4M 03M 04M 05M 06M 07M 08M 09M 10M 11M 12M 13 Mark Module Required: Christian Religious Practitioner NQF level 2M 01M 02M 03M 04M 05M 06 Bank DetailsWnL Network Academy Nedbank Branch: Sunward Park Code: 198 765 Account no: 119 075 6706 Please make copies of all payments.Has payment been made? *YesNo.Important Note: Module will only become available once proof of payment has been uploaded or sent to pieter@wordandlife.com to speed up the process Upload Payment Information Click or drag files to this area to upload. You can upload up to 2 files. CommentSubmit
