Registration (June: Saturday 22/Sunday 23, 2024)

Registration Form
  • Billing Details
  • Attendee Details
  • Payment

Attendee 1 Details


$

Attendee 2 Details


$

Attendee 3 Details


$

Attendee 4 Details


$

Attendee 5 Details


$

Summary and Payment

Thank you for supplying the required details for your registration. Please check the details displayed.

Cancellations: A $50 non-refundable booking fee applies to any cancelations of up to 7 days prior to commencement of the course, otherwise full fees apply.


Bill to:



Attendee 1:

Attendee 2:

Attendee 3:

Attendee 4:

Attendee 5:

No payment items has been selected yet

To pay by EFT (Direct Deposit) please use the following details:

Bank: Bendigo Bank Limited
BSB: 633-000
Account Number: 132 079 997

Payment Reference:

Amount:

(You will also receive a copy of these details via e-mail)

To pay by cheque please use the following details:

Make cheques payable to: Agpath Pty Ltd

Amount:

On the back of the cheque please write the reference:

(You will also receive a copy of these details via e-mail)