BOOK for Canberra NVC Nov 2018

Your Name (required)

Your Email (required)

Your Telephone number

Home address?

What languages do you speak in order of fluency ?

Which parts of the course are you registering for ? Please note that each part is a pre-requisite for the next ones.
Part 1 intro only Friday 3rd May 6 - 9pm
Part 2 Sat 4th May 12 - 5pm
Part 3 Sun 5th May 9 am - 3pm
Practice Day Mon 6th May 9 - 4pm

How much will you be contributing ?
Requested contribution is $50 intro (part 1 only) $180 to $300 (sliding scale - asking you to contribute at the top of your ability)
Practice Day $80 - $130

How do you plan to pay?
Direct deposit (see details below)Please send me an invoiceOther (please specify)

Direct Deposit Details,
K Raffin
BSB 012 330
account 5504 28191
Please put 'NVCCANByourname' in the subject box with payment.

Any other comments, questions or requests?

Thank you,
I look forward to meeting you.