Life Skills GO 2018 Booking Form

Life Skills GO Order Form
Life Skills Group Online

Level 1 / 597 Darling St

Rozelle 2039 NSW

Email: bookings@lifeskillsgroup.com.au

Phone: 1300 889 018

ABN: 76 623 792 085
SCHOOL DETAILS
School Name*
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
YOUR CONTACT DETAILS
Name*

First NameLast Name
Position
Phone

Area CodePhone Number
Mobile

Area CodePhone Number
Email*
IN-SCHOOL PROGRAM ADMINISTRATOR
Name

First NameLast Name
Phone

Area CodePhone Number
Mobile

Area CodePhone Number
Email*
example@example.com
PROGRAM DETAILS
Total number of students*
Access required for school year
Access to commence*
Access required by date*

DayMonthYear
ie 01-Feb-2019
PAYMENT / INVOICE DETAILS
Minimum Students*
Maximum Students*
Total Minimum Cost exc. GST*
Total Meduim Cost exc. GST*
Total Maximum Cost exc. GST*
Total Cost exc. GST $
Finance Contact

First NameLast Name
Finance Email
example@example.com
If the number of students changes before or during the school year, please email bookings@lifeskillsgroup.com.au to change your access requirements.
ACCEPTANCE OF Terms and Conditions
- By submitting this booking form, You agree to the Terms and Conditions and Privacy Policy available at
www.lifeskillsgrouponline.com/termsandconditions

www.lifeskillsgrouponline.com/privacypolicy

As amended from time to time.
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Life Skills GO Order Form