Australian Operator Training

Group Enrolment Form

You are about to book participants in an ACDC Chemical Course course.

Course Start date: 18 Dec 2024

Venue: Australian Operator Training
- 10 Clermont Street, Emerald QLD 4720.
- 07 4982 2541

Important Note:
Late arrivals may be refused entry.
-Long pants, Long Sleeve Shirt, Closed in shoes and Hat.
Please bring on the day
-Licence, Proof of ID, Medicare Card
-Ensure that you have your USI number with you when you attend training.

NOTE: PLEASE READ THE FOLLOWING TERMS & CONDITIONS CAREFULLY
Terms & Conditions are as follows:
Payment . Companies to provide one of the following prior to date of training; Purchase order, or EFTPOS on the day. Certificates will be held until one of these payment options are received. For individuals, payment must be made on the day (Cash or EFTPOS).

Cancellation Policy
Where a company or individual has booked training and a confirmation of acceptance has been received by the company or individual a cancellation and or a non-attendance of a participant/s after confirmation, will receive NO refund or course credit Notice of Cancellation of confirmed training must be provided 24 hours prior to the course commencement.

Please fill in the Registration form below. Fields with a red * are required.

Available seats: 12

Organisation Name *

First Name *

Last Name *

Email Address * Please CC me at the above email address in correspondence to the following participants I am booking.

Phone Number *

Preferred Payment Method

Purchase Order

Participants

Surname

Given Names

Date of Birth

Gender

Mobile

Total price for participants: $490.00

Enrolment Fee: $490.00

I allow Australian Operator Training to store AQF Certificate/Parchment data related to these Students on the PowerQR Document Validation system for document validation purposes.