Duty to Warn Registration Form

Registration Form Please email your completed registration form by 11 March 2016 to: [email protected] W...

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Registration Form Please email your completed registration form by 11 March 2016 to: [email protected]

Workshop: Duty to Warn Tuesday 29 March 2016 at The George in Christchurch 9am – 4pm Lunch, morning & afternoon tea provided Presenters: Andra Mobberley & Jane Freeman-Brown

Name: Organisation: Position: Email Address: Mobile: Dietary requirements? (please indicate)

Workshop Registration Fee is $395 + GST (Total $454.25) Payment Method Internet banking transfer Dr Jane Freeman ANZ 01 0505 0794491 02 Use ‘Workshop’ as reference Cheque Invoice (please indicate which person within the organisation to address the invoice to)

Please  method of payment

Cancellation policy: Registration fees will be refunded in full (minus a $20 processing fee) for cancellations four weeks prior to the workshop date. Cancellations within four weeks will receive 50% refund. Cancellations within 48 hours of the workshop will not be refundable. Workshops require a minimum of 15 participants to proceed. If a particular date has less than this number the workshop will be cancelled one week prior and a full refund given.