One Day Committee 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 )
One Day Committee Course$396.00AUD
inc GST

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.
If you have a promotional code, please enter it here

Participant 1
1st Participant Name*

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

Please note in order to deliver courses in a virtual environment we require the following information for each attendee booked onto a Virtual Course. For more than 3 attendees please submit separate inquiries for the additional participants.
1st Participant Email
example@example.com
1st Participant Phone Number

Area CodePhone Number

Participant 2
2 nd Participant Name

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

Please note in order to deliver courses in a virtual environment we require the following information for each attendee booked onto a Virtual Course. For more than 3 attendees please submit separate inquiries for the additional participants.
2nd Participant Email
example@example.com
2nd Participant Phone Number

Area CodePhone Number

Participant 3
3rd Participant Name

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

Please note in order to deliver courses in a virtual environment we require the following information for each attendee booked onto a Virtual Course. For more than 3 attendees please submit separate inquiries for the additional participants.
3rd Participant Email
example@example.com
3rd Participant Phone Number

Area CodePhone Number

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. (See Missed Training Days below)

C. Missed Training Days:

If after course commencement, a person is unable to attend any day(s) of a course, they may make up this day(s) on a later public course at a per day fee of:

1. 5 Day Health and Safety Rep $ 145 + GST, NOTE: to receive the full certificate participants must have completed the topics in sequence, if not, they will receive 'Topic Completion Statements' for each topic they have completed

2. 3 Day Effective Health and Safety Committee course $ 194 + GST and 2 Day WHS Risk Management for Supervisors and Manager $ 275 +GST.
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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