Workshop request form

* Indicates required field

Name *

First

Last

Phone 1 *

Phone 2 *

Email *

Please Choose One *

Private or Organisation or Company

Please enter your organisation or company name below *

Who referred you to us? *

If you were given a referral code please enter it below *

Your interest/s? (Tick all that apply) *

Number of participants expected? *

Preferred date/s *

Please note:

Fees quoted exclude venue and refreshment costs
A non-refundable 50% deposit is required to confirm your booking for the workshop
The balance to be paid before commencement of workshop
Banking details will be sent on receipt of your application

Thank you for your interest.
We look forward to working with you soon

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