Speak Up! Speak Out! 1 Workshop Enrolment Form

Wednesday, 25 November 2009, 9.30am–12.30pm (3 hour duration)

Please note:

This is a Short Course of 3 hours duration. Registration from 9.15am.
Closing date for enrolments and payment is Wednesday, 18 November 2009.
Use a separate Enrolment Form for each applicant.
Only enrolments made via the SVM website will be accepted.
This course is presented by SpeakersBank Australia on behalf of the School of Volunteer Management.

Short Course Enrolment Form: Wednesday, 25 November 2009

All fields are compulsory.

ENROLMENT DETAILS

Name: *

Telephone number: *

Email: *

Organisation: *

Organisation Address: *

Fee: *

Preferred method of payment: *

Cheque (Payable to The Centre for Volunteering)

Credit Card

Electronic Transfer

Account Name: The Centre for Volunteering
BSB: 633-000
Account Number: 124514795
Bank: Bendigo Bank
Please show in the "Transaction Description" field:
Applicants Name, Course and Date,
e.g.,S. Bloggs SUSO1 251109

Invoice

Do you require an invoice?: *

Yes

If yes, email address for invoice:

OTHER DETAILS

Are you a member of the Centre for Volunteering?: *

Yes

How did you hear about the school?: *

TERMS AND CONDITIONS

Agreement: *

I acknowledge and accept:

If I arrive at the training venue after 9:30am on the day of the course I may not be admitted and I will not receive a refund.
No refund will be given if I withdraw, cancel or defer my enrolment on or after Wednesday, 18 November 2009.