Exercise Medicine Australia


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Workshop Registration Form

Contact Details


Full Name
Postal Address
Email
Phone
Mobile

Workshop Details


Course
Workshop Dates
Your Query


Workshop Cost		$378 (less $30 discount only if the application is lodged 4 weeks before the workshop starting date; less $60 discount for updating a course; less $20 discount for past workshop participants to do a new course).

Payment Options

Cheque

Account Transfer

Money Order

Important Note

1.To register for a workshop, please complete this registration from, then click the ‘Print’ button at the right bottom to print the completed form and post it back to Exercise Medicine Australia together with payment by cheque or money order payable to Exercise Medicine Australia. Postal Add: 240 / 303 Castlereagh Street, Sydney 2000.
2. Payment can also be made through account transfer. EMA account details will be provided upon request.
3.Please note that the workshop cost covers 2-day training course fee, lecture notes, certification and morning and afternoon tea. Comprehensive instructional DVDs are available for purchase.
4.For further information, please call: (02) 9281 8868; Mobile: 0403 295 661 or Email: service@exercisemedicine.com.au

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