Intermediate Audiometry Workshop Registration Form

If you have any questions about or need assistance with completing this registration, please contact our Training Manager, Lynne Miles, on 1300 118 222 opt 1 or admin@hearingcompany.com.au.

After receiving your registration we will: update the information provided into the course register and send you the relevant accounts documents based on the payment method you select. Contact you or your company contact in line with the payment method selected.

This place will only be confirmed when full payment is received or a formal PO is received and accepted.

Participant Details

Surname/Family name*

Given name*

Preferred name

Job Title/Occupation*

Mobile Phone Number*

Email*

Course Date and Location Selection

This is a 2-day course and attendance at all sessions is required (8:30am - 5:00pm).

Please tick your preferred course date(s)*

31 March - 1 April 2026 [BNE] (registrations close Friday 13 March)

I wish to be notified of future course dates and locations

Please tick where you will be attending this course. ( (prices displayed below are including GST)*

Sydney/Brisbane - $2,310.00

Newcastle - $2,750.00

Payment responsibility

The fee for this course is outlined in the Course Date and Location section above.

PLEASE NOTE: Payment in full or an agreed provision of a Purchase Order is required to secure a place on the course.

Please indicate who is responsible for payment of the course fees:*

Company

Participant

Company details

Company name*

Company phone number*

Company address

Street address or PO Box Address Line 2 City State/Territory Post Code

Company Contact Details (not participant)

Manager / primary contact name*

Manager / primary contact job title*

Manager / primary contact phone number*

Manager / primary contact email*

Accounts email for tax invoice/quote/receipt

Additional information we should be aware of

Additional details required for a private registration

Private registration address*

Accounts email for tax invoice/quote/receipt

Additional information we should be aware of

Payment method

Please select a preferred payment method*

EFT

Credit Card

EFT payment

Bank: ANZ

BSB: 016-350

Account: 429413238

Account Name: The Hearing Company Pty Ltd

(N.B. Cash deposits cannot be accepted)

Once the EFT payment has been successfully processed, please send the transaction evidence to admin@hearingcompany.com.au clearly stating the Company name and name of student that the payment relates to.

Our staff will then process the registration and send formal confirmation within 2 - 3 days.

Credit Card payment

Please provide card details below.

Our staff will process an email receipt within the next 2 - 3 days.

Total*

Price: $ 0.00

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

Credit Card*

Invoice/Quote request

Please indicate if you require a quote or an invoice

Quote

Invoice

Our Accounts Co-ordinator, Jeanette Cahalin will send you an invoice within the next 2 - 3 days.

If you have any accounts related questions, you can contact Jeanette, on 0437 959 861 or office@hearingcompany.com.au.

Our Accounts Co-ordinator, Jeanette Cahalin will send you a quote within the next 2 - 3 days.

If you have any accounts related questions, you can contact Jeanette, on 0437 959 861 or office@hearingcompany.com.au.

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.

Confirmation and Course Information

Following registration, we will contact you within 2-3 working days. Please contact the Course Manager, Lynne Miles on 1300 118 222 (option 1) or admin@hearingcompany.com.au if you do not hear from us within that timeframe.

Your details will be entered into the course record immediately. Once full payment is made or a formal PO is received you will receive formal confirmation of your place on the course. The confirmation email will contain information about the venue and an outline of what to expect during the course. It will also have important information about how to prepare for the course.

Occupational audiometry support services

The Hearing Company specialises in supporting businesses in all aspects of Occupational Audiometry with a range of quality services and products.

To discuss your requirement for support using any of our services please contact:

OCCUPATIONAL AUDIOMETRY ADVICE AND ASSESSMENTS

Glenn Johnson, Director/Principal Occupational Audiologist - glenn@hearingcompany.com.au.

> Audiometry program auditing and advice

> Full Audiological testing

AUDIOMETRY EQUIPMENT AND ACCOUNTS

Jeanette Cahalin, Accounts Co-ordinator, - office@hearingcompany.com.au.

> Audiometric booth sales and assessments

> Audiometer sales

> Audiometry accessories

We look forward to hearing from you.

Registration submission

THIS COMPLETES YOUR REGISTRATION - THANK YOU! PLEASE CLICK SUBMIT