Family Challenge
Registration Form


CHILD & ADOLESCENT MENTAL HEALTH SUMMIT 2007 REGISTRATION

Saturday June 16
Hyatt Regency Coolum Warran Rd Coolum Beach Qld

To register offline please click here and download the Registration PDF

Title
First Name
Surname
Position
Organisation
Postal Address
City
State/Territory
Post Code
Phone
Fax
Email

SUMMIT 2007 registration includes:

  • Intensive full day of expert mental health teaching by master practitioners
  • Morning and Afternoon Teas
  • Gourmet Seated Buffet Lunch
  • Participation in Open Panel Q&A Mental Health Forum

Early Bird Registration (registrations EXTENDED TO THE END OF MAY - $195 (GST Inclusive)
Late Registration (registrations after May 31) - $295 (GST Inclusive)

Group Bookings for 5 persons or more attracts a 20% discount

How many people are attending?

Yes I have read the Cancellation Policy (below) and would like to register for the 2007 CHILD & ADOLESCENT MENTAL HEALTH SUMMIT

CANCELLATION: Must be in writing and directed to the conference seretariat. More than 21 days prior to the scheduled date, refund less cancellation fee $100. Less than 21 days prior, no refund. Registrations may be transferred to another person anytime but the secretariat must be notified.

Payment Details:

Cheque - made payable to FAMILY CHALLENGE (ABN: 82672241134)
Please invoice me
Credit Card* (Tax Invoice Receipt will be issued)

*If paying by credit card please send the following details:
Name of Registered Attendant/s, Name of Card Holder, Card Type (Visa, MasterCard), Card Number, Expiry Date, and Contact Number.

Send details to:
Vikki Done
Phone: 07 5478 0202
Fax: 07 5478 0206
Email: info@familychallenge.com.au

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