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Breathalyser Training Enrolment Form - Sober Check
Company Name
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Your Name
*
Your Email Address
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Your Phone Number
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Email Address for Invoices
*
Purchase Order Number
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Please select which model of breathalyser you would like training for
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Please select which model of breathalyser you would like training for
Lifeloc LT7 (orange breathalyser)
Lifeloc FC10 (yellow & black breathalyser)
List of Attendees
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Please provide the full name and email address of each attendee. If you are booking in multiple attendees, put each one on a new line
Costs
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This course costs $150.00 + GST per attendee, please confirm you accept this cost.
Costs
I accept the training cost of $150.00 + GST per attendee
Date & Time of Course
*
Courses are run every Thursday at 9am for 30 minutes
Submit