Disability Inclusion Course Registration

Participant Type	Cost (includes GST)
Students without disability	$22.00 per person
Individuals without disability	$55.00 per person
Business, Service Provider or Government	$55.00 per person (1 – 20 people) $45.00 per person (21 – 50 people) $40.00 per person (51 – 100 people) $38.00 per person (More than 100 people)
Not-for-profit or Local Council	$50.00 per person (1 – 20 people) $40.00 per person (21 – 50 people) $38.00 per person (51 – 100 people) $36.00 per person (More than 100 people)

Organisation Details
Organisation Name * Required
Organisation Contact Number * Required
Organisation Address * Required
Street Address Suburb State Post Code Country
Your Contact Details
Your Name * Required
First Last
Contact Number * Required
Email Address * Required
Billing Address * Required
Same as previous

Street Address Suburb State Post Code Country

Please only tick 'same as previous' if you are an organisation.
Preferred method of contact: * Required
- Phone
- Email
- SMS/Text
Do you use screen reader technology due to having low or no vision? * Required
- Yes
- No
Do any of the people registering use screen reader technology due to having low or no vision? * Required
- Yes
- No
Total amount due:
$ 0.00

Fee Schedule