Perth Training Institute

Group Enrolment Form

You are about to book participants in a Fire Extinguisher and Hose Reel Test and Tag Combo course.

Course Start date: 08 Aug 2025

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

Available seats: 3

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:	$600.00	^{($600.00 per student)}
Payable for enrolment:	$600.00	^{($600.00 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: 3

Participants

Full Course Cost:

$600.00

($600.00 per student)

Payable for enrolment:

$600.00

($600.00 per student)

^{($600.00 per student)}

^{($600.00 per student)}