The "Resilient Individual" Workshop Registration Form
Fields in red are required.
Referral Source   
Given Name   
   Family Name
Title/Position   
Organisation   
Mailing Address   
Address2 (optional)   
City   
   State   Postal Code
Email   
Daytime Phone   
( )  -  Evening Phone ( ) -   Fax ( ) -
     
Event Registration
$  AUD inc. GST
 Course Registration

Date of Workshop
 
       
Total $
  

Click the submit button to send us your details. We will then contact you to arrange payment to confirm your registration.

Cancellations must be received by 2 weeks prior to your chosen event and are subject to a $50 cancellation fee, or if desired your fees may be transferred to a future course booking.

Enquiries: Att: MariaThompson, Macquarie Institute Pty Ltd, Tel: 9412 2500, Fax: 9403 7900,
Email: info@macquarieinstitute.com.au