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Title/salutation* | This field is required |
Family name* | This field is required |
First name* | This field is required |
Email address* | Not a valid e-mail address.This field is required |
Telephone contact* | This field is required |
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Street number and name | |
Suburb | |
State | |
Postcode | |
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Employer* | This field is required |
ABN | |
Position/title* | This field is required |
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Tuition fee: | $1,450 (GST exclusive) per person |
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Early Bird: | $1,250 (GST exclusive) per person |
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Group Fee (3 or more participants): | $995 (GST exclusive) per person |
| Please provide the details of other group members via email to sandra.walker@unisa.edu.au |
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Please indicate your payment preference: | |
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| Once this form is submitted Sandra Walker will be in contact with you to finalise payment arrangements. |
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| Sandra Walker: 08 8302 0801 or Sandra.Walker@unisa.edu.au |
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