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Speak Up! Speak Out! 1 Workshop Enrolment Form

Wednesday, 24 September 2008, 9.15am–12.30pm (3 hour duration)

Please note:

  • This is a Short Course of 3 hours duration
  • Closing date for enrolments and payment is Friday, 19 September 2008
  • Use a separate Enrolment Form for each applicant.
  • Only enrolments made via the SVM web site will be accepted.

Public Course Enrolment Form: Wednesday, 24 September 2008

All fields are compulsory.

Name

Telephone number

Email

Organisation

Organisation address

Fee

$45.00 + $4.50 (GST) = $49.50 (Invoice Fee)

Preferred method of payment

Cheque (Payable to The Centre for Volunteering)

Credit Card

Electronic Transfer

      Account Name: The Centre for Volunteering
      BSB: 633-000
      Account Number: 124514795
      Bank: Bendigo Bank            
      Please show in the "Transaction Description" field:
      Applicants Name, Course and Date,
      e.g.,S. Bloggs SUSO 240908

Do you require an invoice?

Yes No

If yes, email address for invoice:

As above

Other

I acknowledge and accept:

If I arrive at the training venue after 9:30am on the day of the course I may not be admitted and I will not receive a refund.

No refund will be given if I withdraw, cancel or defer my enrolment on or after Wednesday, 17 September 2008.