Committee Chairperson Public Course Booking Form

Your details
Full Name*

First NameLast Name
Position Title
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number

Participants
Number of Participants
prevnext( X )
Management of WHS Risks - Psychosocial Hazards$390.00AUD

Quantity

Total $0.00AUD
Price quoted above is inclusive of GST.

If you have more than 3 participants to train please submit seperate inquiries for the additional participants.

If you have participants for other types of courses we offer you will find the relevant booking form on the 'Bookings' page of our website.

Participant 1
1st Participant Name*

First NameLast Name
Course Preference - 1st Choice*
Course Preference - 2nd Choice
Anything else we should know?

Participant 2
2 nd Participant Name

First NameLast Name
Course Preference - 1st Choice
Course Preference - 2nd Choice
Anything else we should know?

Participant 3
3rd Participant Name

First NameLast Name
Course Preference - 1st Choice
Course Preference - 2nd Choice
Anything else we should know?

Payment

Payment is required prior to course start.We accept Credit card, cheque or bank transfer. Once your booking has been placed we will contact you to confirm and arrange payment options.
Which payment method will you be using?

Visa (please note there is a 1.75% surcharge)Mastercard (please note there is a 1.75% surcharge)Other credit card - Diners not accepted (please note there is a 1.75% surcharge)Amex (please note there is a 4.5% surcharge)ChequeElectronic Funds Transfer
Do you require an invoice?

YesNo
Purchase Order Number (if applcable)

Terms and Conditions
A. Change (Transfer) of Bookings (Must be in writing):

1. Transfers (for all days of a course) are available prior to the commencement of a course. If notification is received 7 days prior to course commencement, our administration fee is waived.

2. If a transfer is made less than 7 days prior to the commencement of a course, an administration fee of $90 plus GST ($99 incl.) is incurred per transfer per person.

3. Transfers are not available if notified any later than after 5pm on the working day prior to the course start.

B. Cancellations of Bookings (Must be in writing):

1. Notification : If a cancellation is received 7 days or more before course commencement, a full refund is payable.

2. Notification : If a cancellation is received less than 7 days before course commencement, the full course fee is payable. As an alternative to cancelling the course, a transfer to another course is acceptable, but this transfer must be arranged at the time of notification and our transfer fee of $90 plus GST ($99 incl.) applies to each attendee being transferred.

3. No Notification : If there is non attendance on the course, with no notification being received prior to course commencement, then the full course fee is payable for each course day not attended and not previously notified.
Client agreement *
1*

I understand that this course will be conducted as per the above terms and conditions of Courtenell P/L and I agree with these terms.
2*

I confirm that I have the necessary authority to make this booking.

Submission

Once you have submitted this form we will contact you to confirm your booking details.
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