Bathurst Course Online Registration Form

BATHURST Training Course WEDNESDAY 18th Sept 2024. **LIMITED PLACES AVAILABLE**

Please fill in the form below. We'll contact you as soon as possible with an invoice. PLEASE NOTE: payment is required to confirm a place.
Full Name*

First NameLast Name
Company Name
For invoicing if applicable
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*
Course Fee*
prevnext( X )
Course Training Feeper person including GST. An invoice with payment details will be sent upon completion of this Form.
$1,485.00AUD # of Participants

Total

$0.00AUD
DETAILS OF EXTRA PARTICPANTS if applicable
Name of Participant 2

First NameLast Name
Email of Participant 2
example@example.com
Phone Number of Participant 2
Please enter a valid phone number.
Name of Participant 3

First NameLast Name
Email of Participant 3
example@example.com
Phone Number of Participant 3
Please enter a valid phone number.
Notes or questions
Cancellation Policy - I agree to the Cancellation Policy for this Training Course*

Agree
Once submitted, we will email an invoice for payment.

Payment options are -
- Credit card via link on the invoice
- EFT to our bank
- monthly instalments with Procuret via link on the invoice
Remember - your payment confirms your place!
Should be Empty:

BATHURST Training Course WEDNESDAY 18th Sept 2024. **LIMITED PLACES AVAILABLE**