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.

Question Title

1. What is your First and Last Name? (Required.)

Question Title

2.
· Email address?
(Required.)

Question Title

3. Phone number? (Required.)

Question Title

4. Do you work in an Organisation? (Required.)

Yes

Yes (please specify the name of the organisation) or Other (please elaborate)

Question Title

5. Do you volunteer in one or more Organisation? (Required.)

Yes

If YES, please specify the name of organisation/s

Question Title

6. Do you require a certificate of attendance? You will receive it by email if you require it. (Required.)

Question Title

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.)

In Person

Online

Question Title

8. Please tick the following according to your requiremets. (Required.)

Attendence(in person/online) for general participants: $15

Attendence(in person/online) for AfCAS members & NAATI certified Interpreters or translators: $7.5

Certificate of Attendence-By Email (Free for AfCAS members) $5

Please provide the Total Cost of all your requirements listed above.

Question Title

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.)

Language services for better care in migrant seniors

Event Registration Form

Question Title

Question Title

* 1. What is your First and Last Name? (Required.)

Question Title

* 2. · Email address? (Required.)

Question Title

* 3. Phone number? (Required.)

Question Title

* 4. Do you work in an Organisation? (Required.)

Question Title

* 5. Do you volunteer in one or more Organisation? (Required.)

Question Title

* 6. Do you require a certificate of attendance? You will receive it by email if you require it. (Required.)

Question Title

* 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.)

Question Title

* 8. Please tick the following according to your requiremets. (Required.)

Question Title

* 9. Payments should be made to:Account Name: AfCASBSB: 066000Account No: 12399310Reference: LangServ-*Surname*Once payment is received, you will be registered (Required.)

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.)