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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.

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* 1. What is your First and Last Name?

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* 2.
·       Email address?

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* 3. Phone number?

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* 4. Do you work in an Organisation?

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

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* 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.

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* 8. Please tick the following according to your requiremets.

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* 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

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