Registration Form for PROFESSIONAL SKILLS PROGRAMS

Go to register for the Certificate IV click here and to register for the Diploma click here

Please enter details, print registration form and fax with credit card details to 02 / 9929 3922 or post with cheque to Impart Skills, PO Box 339, Gladesville 1675 NSW; registration will be
confirmed and tax invoice/receipt sent after receiving payment. All fees include 10% GST.
For any enquiries please contact us toll free 1800 554 714.

Name		State
Surname		Postcode
Position and Business		Phone
Organisation		Mobile
Address		fax
City		Email Address
To select your preferred date please see our calendar of events	Please enter preferred dates:		Moderation (basic + advanced)	Moderation basic single booking	Moderation advanced single booking
Moderation			^$3495	^$1995	^$1995
Presentation Skills			^$990
Cartooning			^$195

*Please contact the office regarding any special/language needs or disabilities, if we may offer extra assistance.

Method of Payment: BankcardVisaMasterCardAmexcheque
Total:	Credit Card No:
	Expiry Date:
Signature: ........................................................

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