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Form Ref P2014

Open Centre Exam Application Form 2011 Contact Information


Name: Full Address: Telephone Number: E-mail address: Exam Information Foundation ($460.00 Incl. GST) Practitioner ($730.00 Incl. GST ) Re-Registration ($340.00 Incl. GST)

Personal Details

Please refer to www.apmg-australasia.com for a full list of available dates, times and venues. Date: Venue: Time:


Payment Information

*Electronic Funds Transfer Details Reference = Your Name BSB = 032778 Account Number = 301855

I have paid by Direct Credit (EFT*) $ I enclose a cheque payable to APMG-Australasia for the sum of: $ I have attached a copy of an Accredited Training Voucher issued by an Accredited Training Organisation Terms & Conditions

IMPORTANT PLEASE READ


Once a booking is confirmed, please comply with the exam date. If you cannot avoid postponing, you are allowed to reschedule the exam date once, at no cost, as long as the change is made a minimum of 5 working days in advance of the exam date. If you reschedule the exam date a second time outside the 5 working days, an administration fee of $100.00 (Incl. GST) will be charged. An administration fee of $100.00 (Incl. GST) will also be charged if you cancel your exam outside the 5 working days notice period. If you cancel or reschedule your booking within 5 working days of the exam date, you will be liable to pay the full exam fee. Please tick the box below and sign the form to confirm you have understood and accepted our Booking Terms.

I accept the Booking Terms & Conditions


I agree that once this booking has been confirmed I will adhere to the conditions explained on this form and for the payment amount detailed above to be debited from my account.
Signature:

Date:

Please note that your booking will not be confirmed until your payment has been processed by APMG-Australasia. Please complete and email to info@apmg-australasia.com or post this completed form along with your payment to: APMG-Australasia PO Box 691, Jamison ACT 2614 Tel: 02 6249 6008 Fax: 02 6249 7002 www.apmg-australasia.com
PRINCE2 is a Registered Trade Mark of the Office of Government Commerce in the United Kingdom and other countries. The Swirl logo is a Trade Mark of the Office of Government Commerce
.

Please ensure that when you arrive for your examination you have some form of Photo ID, such as a drivers license or passport. Credit cards will not be accepted.

Please complete and email to info@apmg-australasia.com or post this completed form along with your payment to: APMG-Australasia PO Box 691, Jamison ACT 2614 Tel: 02 6249 6008 Fax: 02 6249 7002 www.apmg-australasia.com
PRINCE2 is a Registered Trade Mark of the Office of Government Commerce in the United Kingdom and other countries. The Swirl logo is a Trade Mark of the Office of Government Commerce
.

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