The Talea Group's seminar enrolment and payment form.

1. PUBLIC PROGRAM
ENROLMENT FORM
PLEASE ENROL THE FOLLOWING PARTICIPANTS IN:
_____________________________________________ __________________
Program name Program date
COMPANY DETAILS
Company Name
Contact Person
Phone Number
Email Address
PARTICIPANT DETAILS
Participant Name
Participant Title
Phone Number
Email Address
Participant Name
Participant Title
Phone Number
Email Address
Participant Name
Participant Title
Phone Number
Email Address
Participant Name
Participant Title
Phone Number
Email Address

2. BOOKING CONFIRMATION AND PAYMENT
Your enrolment will be confirmed upon receipt of your payment in full.
Payment options are: EFT or cheque
I would like to enroll the above-mentioned participant/s in the specified
program. Payment of $______________ is made by:
EFT on _________________(date)
Enclosed cheque
I have deducted the 10% discount for early bird payment
PAYMENT METHOD:
EFT
Bank: Suncorp
Account name: The Talea Group
BSB: 484-799
Account number: 602288257
Please email your enrolment form to admin@talea.com.au
CHEQUE
Please make cheques payable to ‘The Talea Group’ and post to:
PO Box 590
Albion BC Qld 4010
Please enclose your enrolment form together with your cheque
FOR FURTHER INFORMATION, PLEASE CONTACT DONNA RIX ON:
P: (07) 3256 2943
E: admin@talea.com.au