Building bridges: Unlocking collaborative potential across teams

Building bridges: Unlocking collaborative potential across teams

Friday 20 October 2023
Your Name*

PrefixFirst NameLast Name
Your E-mail*

Confirmation Email
Address*

City

Country
Mobile Number*
Please ensure the information your provide is correct in case we need to contact you regarding your registration or to provide you with information regarding any late changes.
Name of your Organisation
What is your Work Role?
I would like the invoice made out to:*

My organisationDirectly to me
Participant's statement*

I agree to the program being delivered in the manner outlined in the NIODA webpage (including understanding my timezone).I have read the webpage and wish to be a participant.I agree to keep confidential all issues raised by the participants during the program.
I would like to register for the following:*

$900 Individual full-day workshop$700 per person - Three or more participants from the same organisation$810 - Individual - 10% friends of NIODA discount
Total AUD*
Please select your payment method*

I would like to pay by direct deposit directly into NIODA's account.I would like to pay by credit card and understand this incurs a surcharge.
To pay by direct deposit. Please complete and submit this form and proceed to your bank account and transfer the funds to the following account:

NIODA BSB: 313 140 ACC: 1201 6949

Please use your name as your reference.
I plan to attend*

Onsite Melbourne CBDLive interactive online
Do you have any requirements or special requests?
Would you like to be added to NIODA's mailing list?

Yes, please!
Thanks, but I'm already on it!No, thank you.
The workshop component is GST free.

A tax invoice will be issued to your email.
Should be Empty: