Circle Speak
Training Registration Form

*indicates required fields 
  *Name:
  *Organisation:
  *Mailing Address:
  *Suburb:
  *State & Postcode:
  Phone:
  Mobile:
  *Email:
  Fax:
  Cost:  $365.00 Full Payment
 $335.00 Early Payment (1 wk prior to start date)
 $300.00 Group Payment (3 or more attending)
 $700.00 pp Leading Restoratively Workshop
  Invoice Organisation:  Yes
 No - Invoice Me
  Previously Attended an Introductory Sessions:  Yes
 No (not compulsory)
  Date & Type of Training:  Leading Restoratively Syd 10 & 11 Jun 10
 Restorative Practices W'Gong 13 & 14 Aug 10
 Restorative Practices ACT 26 & 27 Aug 10
 Restorative Practices ACT 18 & 19 Nov 10

Please click on the Submit button to submit the form details.
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