PBF Prevention-Workplace Booking

Company (*):
Contact Details
Name (*):
Position :
Email (*):
Fax (*):
Tel (*):
Postal Address
Address (*):
Suburb (*):
Postcode :
State :
Booking Details
Number of participants :
Presentation Venue Address :
Presentation Day Contact Person :
Date and Time
To fulfil your presentation request please supply three available dates. Once a presenter has accepted a particular date and time, the presentation will be confirmed Please allow one hour for the presentation
Preferred Date & Start Time #1 : ››11 September 2010 07:44 AM‹‹
Preferred Date & Start Time #2 : ››11 September 2010‹‹
Preferred Date & Start Time #3 : ››11 September 2010‹‹
Cost
Corporate Members $660 + GST; Non-Members $880 + GST; Special rates may apply for multiple bookings.
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