Registration form course fees are payable in advance. Registrations may be faxed, emailed or posted to the address at the bottom of the form




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COURSE REGISTRATION FORM


Course fees are payable in advance. Registrations may be faxed, emailed or posted to the address at the bottom of the form.

Course Name:  (Please choose course you wish to attend from the drop down list)


Venue:

UNIVERSITY OF ADELAIDE STAFF

Course Date:

     

Family Name:

     

First Name:

     

Address:

     

Suburb:

     

Postcode:

     

Email Address:

     

Home Phone Number:

     

Mobile Number:

     

How did you hear about the course?

 Advertisement

 Word of mouth

 Other

CONFIRMATION OF COURSE REGISTRATION WILL BE SENT IN THE WEEK PRIOR TO THE COURSE BEING HELD


Course Fee: 




PLEASE INDICATE PAYMENT METHOD

 Cash

Only if paying in person at 8 Greenhill Road, Wayville

 Cheque/Money order

Please find enclosed a cheque/money order for $     
(Please make cheques payable to Australian National First Aid Services)

 Direct Deposit to Bank Account

BSB No: 633-000 Account No: 148402712


The CVN number is the last 3 digits on the back of your credit card


Account Name: Aust.Nat.First Aid Services P/L (please include participant surname and date of course as deposit details and forward copy of payment receipt with registration form)

 Credit Card
 Mastercard  Visa Card

Card Number:       CVN:       What is CVN?

Cardholder Name:       Expiry:      /     

Signature:      



 Please Invoice

Department Name:

     

DETAILS OF DEPARTMENT AUTHORISING MANAGER (ACCEPTING TERMS AND CONDITIONS)

Name:      

Position:      

(BLOCK LETTERS)




Signature:      

Date:      

CANCELLATION POLICY FOR PUBLIC AND IN-HOUSE TRAINING COURSES


  • Should a cancellation of registration be advised more than 10 working days prior to the course, the student will be automatically enrolled into a future equivalent course or may request a full refund.

  • Should a cancellation of registration be advised within 3 to 10 working days prior to the course no refund is applicable. The full fee will be credited towards another training course & must be used within 12 months by the enrolled student or nominated substitute or it will be forfeited.

  • When no notice is given for non-attendance, no refund or transfer is applicable and the full fee is forfeited.

  • Cancellation policies for specific courses may apply to override this general policy.

  • Registration is accepted on the basis that Australian National First Aid Services (ANFAS) will not be held liable for costs incurred due to course cancellation or rescheduling. ANFAS will use all endeavours to give advice of any course changes as early as possible.

  • Course dates and fees subject to change without prior notice.




OFFICE USE ONLY

Date Form Received:______________________________________________

Receipt No:_____________ Amount:_________________________


Date: ______________





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