Course in Clinical Gait Analysis

19th and 20th of June 2020

River Terrace, Fenix Events

Helpline

02 9524 3087

eWAY Payment Gateway

Registration

Please complete the registration form below. 

1. Once you have completed your details click the REGISTER  button (at the bottom of the screen), it will allow you to review/edit your registration.

2.  If your details are correct click the ACCEPT button and then the SUBMIT button.

IMPORTANT NOTES:

Upon successful registration a Confirmation/Tax Invoice will be immediately sent to your nominated email address.  If you pay by credit card you will also receive an electronic receipt from the secure banking gateway to your nominated email address.  A 1.75% surcharge will be added for fees and charges.

If for any reason you do not immediately receive a Confirmation/Tax Invoice email please contact our helpline as you are unlikely to be registered.

*Indicates Required Field

Delegate Information

First Name* Surname*
Current employment role* Email*
Phone* Mobile
 

Organisation Information

Organisation Name* Address*
City / Suburb* State
Post Code*   
 

Discipline:*
I wish to attend the Course in Clinical Gait Anaylsis:*
Dietary Requirements
Comments
I wish to attend the Clinical Workshop on Thursday 18 June at 8:30am-12:30pm OR*
I wish to attend the Clinical Workshop on Thursday 18 June at 1:00pm - 5:00pm*

Payment Method*


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Click below to review your submitted information:

After you click the REGISTER button, you must then click the ACCEPT button and then the SUBMIT button to complete your registration.