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Fairview Village Flyer

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  Become an Eden Associate
                Nationally Accredited Associate training:
                          21703 Vic Course in
              Implementing Eden Alternative in Aged Care

                          We offer:
       Large Group In-house training tailored to your needs
               Eden Associate Refresher training
              Advanced Eden ‘Leadership Training”
                  Community Visit or Training

                   24-26th February 2010
    Fairview Village, 30 Sargeant Street, Warragul, Vic, 3820




you can make
   a difference




                                   Eden in Oz & NZ
                      PO Box 5105, Garden City Vic 3207, Australia
                     T: +61 (0)3 9029 4022    F: +61 (0)3 8677 6511
                E: admin@edeninoznz.com.au    W: www.edeninoznz.com.au
Eden Associate training enrolment form
                                                                                                                                                                                    ABN 52 105 681 061
Please write clearly and use capital letters                                                                                                       This form becomes a tax invoice on payment
One form per enrolment; please copy enrolment form, as needed                                                                                                                    Issued December 2009



TRAINING DETAILS

Workshop date: ............................................................................. Location: ..........................................................................................

Special requirements (e.g. dietary, physical access)...............................................................................................................................

PERSONAL DETAILS

Title: ..........................First name:.......................................................Surname:.....................................................................................

Name of employer: ..................................................................................................................................................................................

Your position: .....................................................................................Employer’s website: ....................................................................

Preferred postal address: ........................................................................................................................................................................

................................................................................................................................................................................................................

Preferred email address: .........................................................................................................................................................................

Home phone:......................................................................................Work phone: ................................................................................

Mobile phone:.....................................................................................Fax number: ................................................................................


PAYMENT DETAILS

Full fee: AUD $1350.00 (inc GST)
Fee covers workshop sessions, training manual, morning/afternoon tea and lunch on each day. Other meals and accommodation are at own expense.


     Direct deposit
     National Australia Bank: Eden in Oz & NZ Ltd
     BSB: 083535           Account No: 596499841 (please include your name and workshop location)

     Cheque (payable to ‘Eden in Oz & NZ Ltd’)

     Credit card:                     Visa                           Bankcard                                 MasterCard

     Card number:........................................................................... Card expiry date:..............................................................................

     Cardholder’s name: ................................................................. Cardholder’s signature: ....................................................................




CANCELLATION POLICY: Delegates who are unable to attend the workshop after registering can nominate a substitute. Organisers
must be informed in writing of the substitution. A refund of registration fees, less a cancellation fee of AUD $50, will be made if
received 30 days prior. Refunds will be issued after the workshop. No refunds will be made after this date. EiON reserves the right to
cancel workshops for operational reasons.
PAYMENT POLICY: All registrations must be received and full payment made at least one week before the training commences.
Delegates may be refused entry if payment has not been made.
PRIVACY POLICY: The primary purpose for collecting personal information supplied on this form is to process your registration.
These details may also be used to inform you of future EiON events and may be provided to the EiON Board.

If you DO NOT wish your details to be used for this purpose, please tick this box:
I have read and agree to the above policies.


Signature: ................................................................................................................ Date: ......................................................................

                                                                      Eden in Oz & NZ Ltd
                                                            PO Box 5105, Garden City Vic 3207 Australia
                                                         T: +61 (0)3 9029 4022                               F: +61 (0)3 8677 6511
                                             E: admin@edeninoznz.com.au                                      W: www.edeninoznz.com.au

				
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Description: Fairview Village Flyer