Registration without credit card

Registration For a Course, Workshop or Seminar Payment by Bank Transfer or Cheque

Please complete the form below while you are online.
 
When you have completed the form, press the submit and print button. The information will immediately be entered into our course registrations data base and a place will be reserved for you on that course for 7 days. The registration will lapse if no payment is received within that period. Confirmation of your course registration will be sent to you upon receipt of payment.
 
The information on this form will enable us to communicate with you about the course and to advise you quickly of any changes that may become necessary.
1.Course Details
Course
2.Personal Details
Email address:*
First Name: *
Last Name: *
Phone number:
Address line 1
Address line 2
City:
Post Code:
Country:
3. Password: (In order for you to access details of your registration and payment status, you will need to login to your account with us. Please create a password here to access your account. A confirmation of your username and password will be sent to you by email as soon as you submit this form.)
Password:
Confirm Password:

4. Payment
Amount due:
Closing date for course:

Option 1. Make payment by Bank Transfer
         Please acccess your NetBank and Transfer funds to:
        (Bank account: Balanced Scorecard Australia - 035080 176507)

Our mail address:     Registrations
                                   Balanced Scorecard Australia
                                   Level 40, 140 William St,
                                   Melbourne, Victoria 3000 Australia
* Required

Please Print out this form for your record before pressing the submit button.