Perth Training Institute

Group Enrolment Form

You are about to book participants in an Electrical Test and Tag course.

Course Start date: 17 Sep 2025

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

Available seats: 5

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

Full Course Cost:	$396.00	^{($396.00 per student)}
Payable for enrolment:	$396.00	^{($396.00 per student)}

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

Available seats: 5

Participants

Full Course Cost:

$396.00

($396.00 per student)

Payable for enrolment:

$396.00

($396.00 per student)

^{($396.00 per student)}

^{($396.00 per student)}