Registration Form

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Registration Form

Please complete the form below to register for NALAG NSW's Basic Loss and Grief Training in Taree on 1 & 2 February 2020.

Note: This training is free for current 2019/2020 financial members of NALAG NSW. The cost for non-members is $200.
To become a 2019/2020 financial member of NALAG NSW, please visit www.nalag.org.au/join

Given Names *

Surname *

Organisation (optional)

Current Age (please select) *

Residential Postcode *

Occupation *

Email *

Phone Number *

How did you hear about this training? *

Social Media (Facebook, Instagram, etc.)

NALAG Email

Radio

Newspaper

Poster/Flyer

Television

Word of Mouth

Other

Required

Are you or your organisation a current 2019/2020 financial member of NALAG? *

Yes, I am a current 2019/2020 financial member of NALAG NSW. This training is free for NALAG members.

No, I do not wish to be a current 2019/2020 financial member of NALAG NSW. I agree to pay a $200 attendance fee prior to attending the training (you will receive an email with payment information after completing this form).

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