APPLICATION FORM FOR
WORKSHOP/SEMINAR/COURSE

Mail to: Hon. Secretary, C.G. Jung Society of Melbourne Inc.
P.O.Box 517,  Heathmont, 3135. Tel: 9870 2119. 

TITLE OF EVENT:          _                                                                                 _ 
 

DATE OF EVENT:                    _  _ FEE ENCLOSED:                                 _
 

NAME:                                                                                                                     
                        (Block Letters) 

ADDRESS:                                                                                                            _
 

                                                                        POST CODE:                                _
 

TELEPHONE (H):                                            (W):                                             
 

EMAIL:                                                                                                                  _
 

· The fee for all workshops/seminars/courses is GST inclusive and is payable in advance or at registration.

· The cost of events is listed under each specific event in the program.

· Receipts will not be given at the event unless specifically requested. Assume a place is available unless notified. 

· REFUNDS (less a processing fee of $10) will be paid only if the Hon. Secretary is notified at least 48 hours before the event. 

 Book early as numbers can be limited.