Language services for better care in migrant seniors

Event Registration Form

Date: 06/07/2022
Time: 8.30am - 11.00am
Location: William Street Family Therapy Centre, 544 William Street, Mount Lawley 6050
Parking: FREE street parking available
Please fill in the event form that follows to register for the seminar.
1.What is your First and Last Name?(Required.)
2.
·       Email address?
(Required.)
3.Phone number?(Required.)
4.Do you work in an Organisation?(Required.)
5.Do you volunteer in one or more Organisation?(Required.)
6.Do you require a certificate of attendance? You will receive it by email if you require it.(Required.)
7.Will you be attending the Language Services in Aged Care seminar in Person/Online? Those registered will receive an audio-visual recording of the seminar.(Required.)
8.Please tick the following according to your requiremets.(Required.)
9.Payments should be made to:

Account Name: AfCAS

BSB: 066000

Account No: 12399310

Reference: LangServ-*Surname*

Once payment is received, you will be registered(Required.)
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