Intermediate Audiometry Workshop Registration Form

For assistance with completing your registration, please our Course Manager, Lynne Miles, on 1300 118 222 opt 1 or admin@hearingcompany.com.au.

Student details

Surname/Family name*

Given name*

Preferred name

Hidden

Title

Job Title/Occupation*

Mobile Phone Number*

Email*

Dietary requirements*

Specify other dietary requirements

Registration Type

Please indicate if this is a company or private registration*

Company registration
Private registration

Company details

Company name*

Company phone number*

Company address*

Manager / primary contact details

Manager / primary contact name*

Manager / primary contact job title*

Manager / primary contact phone number*

Manager / primary contact email*

Additional information we should be aware of

Course Date Selection

This is a 2-day course and attendance at all sessions is required (8:30am - 4:30pm). Please tick your preferred course date.*

Please tick your preferred course date(s)*

I wish to be notified of future course dates and locations

Please tick your preferred location*

Sydney/Brisbane - $1925
Newcastle - $2090

Payment Details

The fee for this course in SYDNEY is $ 1,925.00 including GST ($ 1,750.00 + $ 175.00 GST)

The fee for this course in NEWCASTLE is $ 2,090.00 including GST ($ 1,900.00 + $ 190.00 GST)

PLEASE NOTE: Payment in full is required to secure a place on the course.

Following registration, you will receive a tax invoice or quote, if requested, within 2-3 days.

2 - 3 days following payment, the student and manager/primary contact will receive formal confirmation of a secured place. This will contain information about the venue and an outline of what to expect during the course.

Please contact the Course Manager, Lynne Miles, on 1300 118 222 opt 1 or admin@hearingcompany.com.au if you do not receive expected communication within the indicated time frames.

Payment method*

Invoice
Quote
Credit Card

Email for tax invoice/quote/receipt

Credit Card Payment

Please provide card details below.

Total*

Price: $ 0.00

Only Australian Credit Cards accepted. Credit card transactions incur a 1.8% surcharge.

Credit Card*

Authorisation*

I authorise The Hearing Company to process payment for the total amount displayed above.

Cancellation/Transfer Policy

The following fees are payable should a participant withdraw from the course:

Following registration: 10% of the full fee

Within 3 weeks of the starting date: 50% of the full fee

Within 1 week of the starting date: 100% of the full fee

PLEASE NOTE:

1. A registration may be transferred to another person within the same course at no additional charge.

2. We do not offer "transfers" to another course. Withdrawal from a course after confirmation of registration will be subject to the cancellation fees outlined above.

Cancellation Policy Agreement*

I confirm that I have read, understood and agree to the Cancellation/Transfer Policy as outlined above.

Audiometry Practice Support

For reference, The Hearing Company specialises in supporting audiometry practices with a range of quality services and products including:

> Audiometric booth assessments

> Audiometer sales

> Audiometric booth sales

> Audiometry program auditing and advice

> Audiometry accessories

> Full Audiological testing

Please contact Glenn Johnson on 1300 118 222 opt 2 or glenn@hearingcompany.com.au to discuss your requirement for support in any of the areas outlined above.

THIS COMPLETES YOUR REGISTRATION - THANK YOU! PLEASE CLICK SUBMIT