Ryebuck

Superworking® Program Registration Form

Please complete this form to register for a public Superworking Program.

* Required information

Superworking® Program Dates

Select Program:

Your Contact Details

Please enter your contact details for the Program.

First Name:	*	Last Name:	*
Position Title:	*	Email:	*
Work Phone:	*	Work Fax:
Mobile:

Additional Attendees

Please enter additional attendees for the Program.

1. First Name:		Last Name:
2. First Name:		Last Name:
3. First Name:		Last Name:
4. First Name:		Last Name:
5. First Name:		Last Name:

Dietary Requirements

Please advise of any dietary requirements.

Company Details

Company Name:	*
Address:	*
State:	*	Postcode:	*

Forwarding Address for Invoice

Please advise if the forwarding address for the invoice is different from the contact details above.

Contact Name:
Position Title:
Email Address:
Address:
State:		Postcode:

Comments:

Terms and Conditions

Payment Details

Payment is required before the Program commencement. An invoice will be issued following lodgement of this form and your Registration will be confirmed on receipt of payment.

Course Fees $3410 (inc GST) per person. Includes tuition, meals & refreshments, course notes, CD, reference book and materials

Ryebuck Pty Ltd Public Program Cancellation Policy

If you are unable to attend a substitute delegate is very welcome.
We will accept your requests to transfer to a later Program without charge, provided it is made 21 days or more prior to commencement; requests to transfer made after this time will incur a $495 transfer fee.
We do not charge for cancellations made 30 days or more prior to commencement; cancellations made after this time will incur a $1,000 service fee.
Failure to present for the Program will result in forfeiture of the program fee.
Ryebuck Pty Ltd reserves the right to cancel or postpone a course if there are insufficient registrations, in which case a full refund will be offered.

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