Page 1 of 1

Workplace Urine Refresher Enrolment Form (Virtual)

Company Name

Your Name

Your Email Address

Your Phone Number

Email Address for Invoices

Purchase Order Number

Course date

Course date

List of Attendees

Please provide the name of attendee/s. If you are booking in multiple attendees, put each one on a new line.

Email Addresses of Attendees

Please provide the email address for each attendee. If you are booking in multiple attendees, put each one on a new line.

Who will be paying for this course?

Who will be paying for this course?
A
B

Costs

This course costs $200 + GST per attendee please confirm you accept this cost.
Costs

Comments

This course has a theoretical element: a level of reading, writing and the ability to comprehend English is required. If you have any concerns regarding this, require a reader/writer, or have a specific learning requirement, please contact Sober Check prior to the course to discuss options.
To support equity in the government's education strategy, please indicate if you fit any of the following groups (optional):
Untitled checkboxes field

Gender

Optional, for statistical purposes.
Gender
A
B
C
CANCELLATIONS, SUBSTITUTIONS OR NO SHOWS Modification to enrolment is accepted without penalty up to ten (10) working days prior to course commencement. Thereafter any alteration will be treated as follows: Late Substitution, Late Cancellation or No Show: Full Fee The invoice is to be paid by 20th Day of Month following invoice. Overdue account(s) may be charged interest of 2.5% per month that the account(s) is overdue.
By signing and/or submitting this form I hereby declare that I have engaged Sober Check for the work specified and agree with the Terms and Conditions.