Registration - Directional

Directional Workshop Registration form

PARTICIPANT DETAILS:

DELEGATE ONE:
Name: *

Position: *

Phone: *

Email: *

DELEGATE TWO:
Name:

Position:

Phone:

Email:

DELEGATE THREE:
Name:

Position:

Phone:

Email:

DELEGATE FOUR:
Name:

Position:

Phone:

Email:

YOUR COMPANY DEATILS

Company Name: *

Postal Address:

Postcode:

WORKSHOP AND DATE: * Please nominate which workshop(s) you are attending:

REGISTRATION AND PAYMENT: Please confirm early-bird details and fees on our website – www.directional.biz.
Early-bird fees only apply to bookings that are paid for by the early-bird date. Please note that participant numbers are limited to maximise your learning. Registration is on a first-come, first served basis by calling 02 9983 0712, emailing info@directional.biz or faxing this completed registration form to 02 8901 3297.
Unfortunately we cannot confirm registration until payment has been received.
Confirmation, location details and tax invoice / receipt will be emailed to you.

Please debit my credit card in the amount of: $

Amex**VisaMastercard

Card Number: *

Exp: *

Name on card: *

CCV no: *

Cancellations: Cancellations made up to 21 days before the workshop will receive a full refund. Cancellations received 20-14 days (inclusive) before workshop will receive a 50% refund. Unfortunately, no refund can be made on cancellations less than 14 days before workshop.
Changes: We reserve the right to cancel or reschedule any workshop due to unforeseen circumstances.
**Amex: Please note that an admin fee of 3% applies to Amex payments