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Select Course
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Name(s) (Include Mr., Mrs., Miss., Ms.
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Occupation/Title
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Business Name
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Mailing Address
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Daytime Phone
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Mobile
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Email Address
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Total amount Due
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Please select payment option
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Deposit of $150.00
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NB Cheques should be made payable to:-
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On Invoice
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Co-Operacy
PO Box 47652
Ponsonby
Auckland 1144
New Zealand
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by cheque
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Secure credit card payment
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On submitting this form you will be taken to a confirmation page which includes the secure credit card payment link.
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Name and address of person to whom the invoice is to be forwarded :-
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Name
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Address
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Your registration will be confirmed upon receipt of your payment
Payment is required 10 days prior to the commencement of the course
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CONDITIONS
Cancellations must be received in writing by Co-Operacy at least 10 days prior to the course. Payment will be refunded less $150.00 for administration and venue costs incurred. Transfers to another course will incur a $75.00 charge for administration costs. A substitute participant may be negotiated before the course commences. Should a participant choose to withdraw after the first day of a course, no refunds will be given as course funds are fully committed. The leader of a course retains the right to refuse admittance to a participant either before or during a course if their behaviour is innapropriate. A certificate is awarded for a minimum of 80% attendance plus fulfilment of the course requirements.
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By submitting this form you accept these conditions
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