Women's Contact & Advanced Women's Contact Officer Booking Form


 Please complete and check all fields, then select ‘Submit Form’.

Given Name (for badge/certificate)


Family Name


Workplace/University


Position


Union Member No.


Home Address


DECS ID No. (if applicable)


Phone No.


Email Address

Sessions

AEU Women's Contact Officer Course 2/08/2010
AEU Advanced Women's Contact Officer Course 3/08/2010

Certification

PD certificate required

Fully Catered Lunch (both days):
Special Requirements (please tick and give specific instructions below)

Special dietary
Disability
Access
Other

Relief Funding

Relief Funding Required No Yes

Period Required


Your position


Travel and Accommodation Support for Country Members Only

Travel support required No Yes

Please insert specific flight dates/times/airports/buses/ferries etc. Car travel will be reimbursed at 30c p/km.


 
Accommodation support required No Yes

Preferred dates, arrival/departure times, name of member you wish to share accommodation with etc.

Other

Additional details, instructions or questions

 
Please complete code


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