Booking form

CONTACT DETAILS

* mandatory field
Attendee Full name * :
Job title * :
Organisation * :
Address * :
City * :
State * :
Postcode * :
Telephone * :
Fax * :
Email * :
Type of Business :
Number of employees :
Person with overall responsibility for training (if different)
Full name :
Job title :
Telephone :
Fax :
Email :

COURSE DETAILS

PREFERRED TRAINING SUPPLIER

Name of company or association :
Have you a prefered supplier agreement :	Yes No

PAYMENT DETAILS

(please tick appropriate button)
Please make all payments to Demos Australia Pty Ltd. Credit Card - Email for details
EFT – Email for details

Please note we require payment in full minimum 14 days prior to course date.

AUTHORISATIONS:

On behalf of my organisation, I accept the Terms and Conditions of Demos Australia Ltd as set out on this page, in making this booking.

If you print this form please sign below to indicate you accept the Terms and Conditions.