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Workshop registration form
 

Workshop Date:
Enter the date of the workshop you wish to attend dd/mm/yyyy
Workshop Location:
Enter the location of the workshop you wish to attend

Training Workshops Price
Inc. GST 		Number
Ordered
Peer Support Teacher Training:
1 day workshop 250.00
Peer Mediation Teacher Training:
1 day workshop 250.00
Communicate Teacher Training:
1 day workshop 250.00
MPower Girls:
Half-day workshop 180.00
Revved Up:
Half-day workshop 180.00
 
Order Total:

Contact details
School/Organisation/Name*
Contact Name
Email address*
Postal delivery address*
City*
State*
Postcode*
Telephone*
Purchase order number
Attendee 1
Attendee 2
Attendee 3
Special Requirements


If paying by Cheque, send to Stride Foundation. 230 Rae Street North Fitzroy, Victoria 3068
Australia, please make payable to Stride Foundation ABN 97 006 716 758.
Or
Direct EFT: BSB 083 218 Account 029627464 Name STRIDE FDN Ref Name on order
Or
Complete credit card details below...
Credit card details
Name on card
Credit card number
Credit card type
Expiry date (mmyy)
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Verisign
All orders are processed securely by Verisign.
For more information on Verisign click here
 
 
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