NURTURE WORKS CONFERENCE REGISTRATION FORM

NURTURE WORKS CONFERENCE REGISTRATION FORM

Nurture Works (Saint Mary's Community Care) ABN 25 267 155
PERSONAL DETAILS
Full Name *

First Name Last Name
Position

Address *

School/Organisation Address

School/Organisation Email
School purchase order number
Payment options
PAYMENT VIA PAYPAL USING CREDIT CARD

ONLY FILL IN THIS SECTION IF PAYING ON LINE VIA PAYPAL
Please tick appropriate boxes and add quantities

REGISTRATION FULL $ 195.00 AUD

Quantity

2 From one school/org full $ 380.00 AUD

Group booking (3 or more) Full $ 180.00 AUD

Quantity

Total $ 0.00 AUD
PLEASE FILL IN THIS SECTION ONLY IF REQUESTING AN INVOICE
Please tick appropriate boxes

Registration Full $195 2 from one school/org Full $380 Group booking (3+) Full $180 each
Number Registering for
Please select
Please tick the appropriate box for invoicing

Please send invoice to my school/org Please send invoice to me Please send invoice to other (as below)
Invoice to
Food Preferences
Please let us know of any dietry requirements
Comments
CANCELLATION POLICY - Full fees refundable for cancellations up to 1st August

Cancellations after 1st August 50% of fees refundable - Cancellations after 15th August no refund
Should be Empty:

Addtional Delegates