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 ?

How did you hear about this training ?

Which practice days are you registering for ?

Practice Day Sat 16th June 9 - 4pm
Practice Day Sun 17th June 9 - 4pm

How much are you be contributing ?
Requested contribution for each Practice Day is $110 - $180 per Day (sliding scale - asking you to contribute at the top of your ability)

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.