Occupational Audiometry Course Registration Form

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

After receiving your registration we will:

> Update your details into the Course register

> Contact you or your company contact in line with the payment method selected.

> Once payment is settled or a formal PO is received and accepted we will confirm the registration and your place on the course.

Participant Details

Surname/Family name*

Given name*

Preferred name

Title

Job Title/Occupation*

Mobile Phone Number*

Office Phone Number

Email*

Dietary requirements

Postal Address

This address is used to post a Certificate of Competence to the participant following successful completion of the course.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional information we should be aware of

Course Date Selection

This is a 4-day course and attendance at all sessions is required (8:30am - 4:30pm).

Please tick your preferred course date(s)*

24 - 27 MARCH 2026 [PER] (course full)

28 APRIL - 1 MAY 2026 [ADE] (registrations close Friday 27 March)

5 - 8 MAY 2026 [PER] (registrations close Friday 10 April)

12 - 15 MAY 2026 [CRN] (registrations close Friday 10 April)

2 - 5 JUNE 2026 [SYD] (registrations close Friday 1 May)

I wish to be notified of future dates and locations

Please select where you will attend your course:*

PERTH - $ 3,410.00 (inc GST)

BRISBANE/SYDNEY/ADELAIDE - $ 3,575.00 (inc GST)

CAIRNS - $ 3,800.50 (inc GST)

Payment Responsibility

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

Company

Student

Company Name*

Company Address*

Company Address Line 1 Company Address Line 2 City State Postcode Country

Company Contact (not participant)*

Company Contact Job Title*

Company Contact Phone Number*

Company Contact Email*

Accounts Dept. Email*

Payment Details

The fee for this course is dependent on location:

For Sydney, Brisbane and Adelaide - $3,575.00 including GST ($3,250.00 + $325.00 GST)

For Perth - $3,410.00 including GST ($3,100.00 + $310.00 GST)

For Cairns - $3,800.50 including GST ($3,455.00 + $345.50 GST)

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

Payment method*

EFT

Credit Card

Invoice/Quote/PO

EFT Payment

Bank: ANZ

BSB: 016-350

Account: 429413238

Account Name: The Hearing Company Pty

(N.B. Cash deposits cannot be accepted)

Once the EFT payment has been successfully processed, please send the transaction evidence to office@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.

You should receive an immediate receipt from Stripe. Our staff will process your registration and send a registration confirmation with information within the next 2 - 3 days.

Total to be charged:*

Price: $ 0.00

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

Credit Card*

Invoice / Quote / Purchase Order

Please advise if your company requires a formal quote or invoice for generating a Purchase Requisition or processing an EFT payment through your Accounts Department.

Please indicate if you require a quote or invoice, or if you have already sent a Purchase Order for this registration*

Quote

Invoice

Purchase Order has been sent

Purchase Order number

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 treated as a cancellation and 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, Libby on 1300 118 222 (option 1) or manager@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