Application/Tax
Invoice
ABN 86 068 714 072
Certificate in Professional Coaching
Please
printout and complete this
form. Fax or mail it to us with full payment. If you would
like to pay by direct credit, please tick the appropriate
box below. We will send you our bank account details.
No
separate invoice will be issued. Following payment, please
keep a copy of this form for taxation purposes.
|
| Program Mode |
|
1.
Public Program
(see
Schedule of workshops)
|
1.
$4,045.46 per person plus $404.54 GST = $4,450 |
2. Mixed - Blended |
4. $4,272.73 plus $427.27 GST = $4,700 or more, subject to details |
| 3.
Personalised |
3.
$7,000 or more plus GST, subject to details |
4. Distance |
2. $4,818.18 per person plus $481.82 GST = $5,300 |
5.
In-house company mode |
5.
$ Fee on application |
| Cheque
or money order to be made payable to CoachCorp Pty
Ltd and addressed to: Enrolments,
CoachCorp P.O. Box 233 Mitcham Victoria 3132
Direct credit facility also available.
Enquiries Phone: (03) 9872 6474 Fax: (03) 9872 3743 Email:learningworks@coachcorp.com.au
|
| Please
register a place for me in program mode number
|
|
| Location |
Melbourne |
| Total
payment including GST is |
|
| Cheque
or money order for this amount is enclosed |
Yes
No |
| Payment
by direct credit to the CoachCorp bank account |
|
| Full
Name |
|
| Signature |
|
| Today's
Date |
|
| Job
Title/Employment status |
|
| Organisation |
|
| Address |
|
| Phone
(Home) |
|
| Phone
(Work) |
|
| Mobile |
|
| Fax
|
|
| Email |
|
| I
have attached a brief resume - Yes
OR
I have sent a brief resume by email - Yes
I
have read the CPC Eligibility for Enrolment and agree that
I already/or will meet these requirements
prior to commencing the CPC Program - Yes
|
