Australian Hand Therapy Association Inc.

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Australian Hand Therapy Association Inc.   ABN 72 874 453 636

PO Box 182  MUNDARING  WA  6073  Ph: 08 9578 3348  Fax: 08 9574 6078  Email info@ahta.com.au

CERTIFICATE COURSE IN HAND SPLINTING
(Level 2) 2008

BRISBANE 22-23 NOVEMBER 2008

REGISTRATION FORM &
TAX INVOICE

REGISTRATION  (Please complete form on-screen and print - retain a copy for your records)

Date of Invoice

 
Name    PT       OT 
Organisation
Postal Address
Suburb State P/C
Phone  Fax  
Email
COST (includes all notes, text, materials, am/pm teas and lunch)       

If using credit card, please select $15.00 surcharge Inc GST

   

SELECT TOTAL PAYABLE Inc GST

   

Select method of payment     

Select card type

  MasterCard 

   Visa

Card Nș      Expires:
Name  on Card

Signature: (required)

 

_______________________________________

bulletFor credit card or direct deposit payments, please fax completed form to 08 9574 6078
bulletIf paying by direct deposit, please quote your surname to identify your online payment.

Bank: Bank of Queensland

BSB: 124-001

A/c Nș: 11 244637

A/c Title: Australian Hand Therapy Association Inc.

bullet

If paying by cheque, please mail to:
AHTA Inc. PO Box 182  MUNDARING  WA  6073

AHTA Policy on Cancellation / Refunds of Workshop fees

AHTA reserves the right to cancel or postpone any event.  If this occurs all monies will be refunded to the registrant.  Should you be unable to attend, a substitute delegate is always welcome and should contact the AHTA Secretariat.  If the substitute is not an AHTA member, the non-member fee will apply and extra payment will be due.  A refund (less 30% to cover the administration costs, and less the cost of any supplied texts) will be given for a written cancellation received 10 working days prior to the event.  Cancellation after this will be ineligible for a refund. All registrants will be notified in writing or by phone / e-mail to confirm a place or to advise if their name has been placed on a waiting list for each seminar/workshop.  If you have not received this confirmation 7 days prior to the seminar please contact the secretariat (info@ahta.com.au).  If an event is cancelled, all registrants will be notified either by mail, phone or e-mail.

 

© 2008 Australian Hand Therapy Association Inc.    Last modified: 8 November 2008