Visit our event website to find out more about this event OR COMPLETE THE BELOW FORM TO REGISTER NOW.

This event is brought to you by St John Ambulance (Vic) Inc.
To register, simply complete and submit the below form below.
To secure your booking payment is required to be made online now or at least 4 weeks prior to the event (unless by special arrangement).
Payments can be paid via credit card (Amex, Mastercard & Visa only), or by Direct Deposit or Cheque. Diners payments are not accepted.

For further enquiries, contact Gener8 on 03 9013 0430 or stjohn@gener8.com.au
PLEASE COMPLETE THE BELOW FORM TO REGISTER ONLINE NOW.

Registration Main Contact Details:
This should be the person registering all attendees (may or may not be attending) but is the main contact that will be invoiced.

* Denotes Mandatory Fields
FIRST NAME *
LAST NAME *
COMPANY *
POSITION *
ADDRESS *
SUBURB *
STATE *
POSTCODE *
COUNTRY if not Australia.
PHONE *
MOBILE
FAX
EMAIL *
ARE YOU ATTENDING
THIS EVENT?		 Yes   No  If yes, please include your details below under attendees.
 If no, you will not be registered for this event, however the invoice will be issued in your name (or the name you include above)
TICKETS

Individual Tickets @ $225.00 (Inc GST) per person
 Corporate Table of 10 @ $2,250.00 (Inc GST) per table of 10
 

Attendee Names | Complete for ALL attendees (including yourself if you are attending)
If not all guest names are known, please indicate with a TBC below, and ensure you email your final guests names at least 2 weeks prior to the event to stjohn@gener8.com.au
      Sal          Firstname          Lastname          Company Name                  Position                                  Email    
     * The below fields for the first attendee are mandatory and cannot be left blank  
1.  
     Complete the following fields as necessary for any guests / additional attendees to the primary person
2.  
3.  
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Special Dietary
Requirements
Table Seating
Requests
Payment Type  Pay by Online by Credit Card (MasterCard, Visa or Amex only). Amex incurs a 3.5% surcharge
      Credit Card Type (Please note Diners is NOT accepted for this event)
 Pay by Direct Deposit or Cheque
* Payment is required prior to event (unless by special arrangement or purchase order)
* Upon submitting this page you will be presented with an online Tax Invoice for payment along with further payment instructions..


 

 All prices include 10% GST

    

UPON SUBMITTING THIS REGISTRATION FORM YOU WILL BE REQUESTED TO PROVIDE FURTHER PAYMENT DETAILS TO SECURE YOUR BOOKING.  PLEASE PRINT THE FOLLOWING PAGE TO RETAIN AS A TAXATION INVOICE FOR YOUR RECORDS

Cancellation Policy:
St John Ambulance (Vic) Inc. is pleased to provide full refunds for cancellations advised up to 30 days prior to the event.  There will be no refunds for cancellations within 30 days of the event. You may substitute a colleague at any time if you are unable to attend.

Privacy Statement
You acknowledge and agree that St John Ambulance (Vic) Inc. may use this Personal Information to register you for this activity and to notify you of further related St John Ambulance (Vic) Inc. and activities. St John Ambulance (Vic) Inc. will not disclose your Personal Information to third parties, except to a service provider for the sole purpose of performing an activity on behalf of St John Ambulance (Vic) Inc.  In this case, St John Ambulance (Vic) Inc. will use all reasonable efforts to ensure that the recipient handles your Personal Information in accordance with appropriate privacy principles. The attendee and organisation name may be included in a list for circulation to attendees at the seminar.

St John Ambulance Australia (Vic) Inc
Toll Free: 1300 360 455 F: 8588 8382 (Event Enquiries call Gener8 on 03 9013 0430)
W: www.stjohnvic.com.au
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