Online Enrolment Form

This form is only to be used if you will be paying by credit card (mastercard or visa). We do not have a secure site so we will phone you to collect your credit card details.

DO NOT SUBMIT THIS FORM UNLESS YOU WILL BE PAYING BY CREDIT CARD.

Your Details

Name:

Street Name & Number:

Suburb:

Postcode:

Telephone (Business hours):

Telephone (After hours):

Email Address:

Type of Concession:

Concession ID Number:
Where did you hear about us?

Course Details

Name of Course:

Course Code: (eg:123CODE)
Cost $
Mastercard or Visa (Short Courses will call for the credit card number)

THANK YOU!

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