FIRE WARDEN TRAINING

CPPFES2005A DEMONSTRATE FIRST ATTACK FIREFIGHTING EQUIPMENT - AS 3745-2010

COURSE NAME:
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Australia

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Postal Code:
NAME OF ORGANISATION:
NO. OF PARTICIPANTS TO ATTEND:
NAMES OF PARTICIPANTS (IF KNOWN):
ORGANISATION EMAIL ADDRESS:
ORGANISATION POSTAL ADDRESS:: Line 1:

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NAME OF PERSON COMPLETING FORM:: First Name:

Last Name:
DATE:
PHONE CONTACT:
PURCHASE ORDER NUMER:: *OFFICE USE*
:: $250 + GST PER PERSON PAYMENT BY:
:: CASH
$250.00+ GST PER PERSON PAYMENT BY:: EFT – AC NAME: TERRITORY FIRE SERVICE & TRAINING BSB: 085 458 AC NO: 125 681 575 (PLEASE ATTACH COPY OF REMITTANCE ADVICE)
:: CHEQUE - PAYABLE TO TERRITORY FIRE SERVICES AND TRAINING AND POST TO: P.O. BOX 35827 WINNELLIE 0821
:: PLEASE CALL (08) 8932 5550 TO PROCESS VIA CREDIT CARD
:: CONFIRMATION TERMS: This form must be received at least one week prior to training course and be accompanied by either Purchase Order or Payment to ensure confirmation. In the case of Purchase Order, Invoice will be forwarded, as payment is still required prior to training. Cancellations within 48 hours of training are to be paid in full.
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