Short course application form
   
 

Attendee Details    
Title

First name
 

Family name
 

Occupation
 

Postal address
 

City
 

Postcode
 

Work phone
 

Home phone
 

Mobile phone
 

Fax
 

Email
 

Personal Email
 

Name to appear on name tag
 

Affiliation to appear on name tag
 

Authorisation Details    
Authorising officer
 

Institution / organisation
 

Section / department
 

Phone
 

Fax
 

Email
 

Date authorised
 

Datepicker (mm/dd/yyyy)

Enrolment Details    
Week one enrolment choice
 

Enrolment Fee
 

(must be completed if a week one course is selected)

Week two enrolment choice
 

Enrolment Fee
 

(must be completed if a week two course is selected)

Special requirements (dietary, disability access etc.)
 

Payment Details    
Payment type
 

REFUNDS/CANCELLATION POLICY

Course fees are not refundable unless the course is cancelled or your application is withdrawn before the advised closing date of 11th December 2009; the early-bird student fee is not refundable on withdrawal. Late enrolments will be accepted depending on course numbers and availability.

A processing fee of $200 will be retained/charged for applications withdrawn within the period after the advised closing date of 19th December 2009 and prior to 29th January 2010.

The full course fee will be retained/charged for applications withdrawn after 29th January 2010 or seven days prior to the start of the respective enrolled course.