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IN CONJUCTION WITH THE MACKAY REGIONAL COUNCIL AND GEORGE STREET NEIGHBOURHOOD CENTRE ASSOCIATIONINC. PRESENTS
AND
Friday 16 September 2011 8.30am - 1.00pm
Reception Room, First Floor Mackay Regional Council Administration Building Corner of Gordon and Wellington Street MACKAY
PLEASE NOTE: EACH PROJECT AND TARGET GROUP HAVE VARYING COSTS
COSTS: Day One: IWDS Target Group: $60 (GST free) DSTF Target Group: $25 (GST free) Parent/Carer (DSTF): Free PSCQ Target Group: $66 (GST inc.) Non Target Group: $75 Day Two: IWDS Target Group: $40 (GST free) DSTF Target Group: $25 (GST free) Parent/Carer: Free PSCQ Target Group: $44 (GST inc.) Non Target Group: $50
PSCQ Target Group: Services receiving CCB and budget based child care services DSTF Target Group: Services funded through Department of Communities, Disability Services IWDS Target Group: Services funded by the Department of Communities through the categories of Homelessness, Family and Domestic Violence, Youth, Seniors, Family & Individual Support, Child protection, Community Development/support, CALD Community Services & protection, Indigenous Community Services
MACKAY PROFESSIONAL SUPPORT NETWORK, MACKAY WORKFORCE DEVELOPMENT NETWORK AND CENTRAL DISABILITY SERVICES TRAINING REGISTRATION FUND COALITION, IN CONJUCTION WITH THE MACKAY REGIONAL COUNCIL AND GEORGE STREET NEIGHBOURHOOD CENTRE ASSOCIATION INC.
DO YOU SPEAK MY LANGUAGE? Thursday 15 September 2011, 8.30am-5.00pm Mackay Entertainment and Convention Centre Friday 16 September 2011, 8.30-1.00pm Mackay Regional Council, Administration Building
(applications close: Thursday 1 September 2011. Please note that registrations are limited, especially on Day Two so please register early to avoid disappointment) disappointment
COSTS:
Day One: IWDS Target Group: $60 (GST free) DSTF Target Group: $25 (GST free) Parent/Carer (DSTF): Free PSCQ Target Group: $66 (GST inc.) Non Target Group: $75 Day Two: IWDS Target Group: $40 (GST free) DSTF Target Group: $25 (GST free) Parent/Carer: Free PSCQ Target Group: $44 (GST inc.) Non Target Group: $50
Name/s
PLEASE PRINT CLEARLY
1.
2. If you have more than 2 people interested in attending, please tick and we will contact you if this activity does not fill out
Parent/Carer (DSTF)
(PLEASE TICK)
Friday 16 September
Both Days
Postal address Town/suburb E-mail Phone Do you have any dietary, disability, allergy, language or other requirements?
(please also state to whom each requirement applies):
OFFICE USE ONLY: ACTIVITY IDs
$ __________
DSTF 4481 AO: BB
PSCQ 4474,
ISD 4477,
PHOTOGRAPHY
On occasion, the Workforce Council will document events through the use of audio, video and/or still photography. These recordings may then be used by the Workforce Council in appropriate publications including but not limited to newsletters, flyers, brochures and websites. If you do not consent to having photos/audio/audiovisuals of you participating in this activity used in future promotional materials, please indicate below and you will be provided with instruction on how to be excluded upon signing in at the registration desk.
I CONSENT
I DO NOT CONSENT
Signed:
Date:
HOW TO PAY
IF PAYING BY CREDIT CARD: Complete all fields of the credit card payment form below Send completed application by fax to (07) 4799 7986 or email to 07) registrations@workforce.org.au DO NOT post the original copy or duplication of payment may occur A receipt will only be sent on request WE DO NOT ACCEPT CREDIT CARD PAYMENTS BY PHONE IF PAYING BY CHEQUE OR MONEY ORDER:
COPY THIS FORM FOR YOUR RECORDS AND POST THE ORIGINAL WITH
CHEQUE OR MONEY ORDER MADE OUT TO: HEALTH AND COMMUNITY COUNCIL SERVICES WORKFORCE COUNCIL INC TO ADDRESS: GROUND FLOOR, 303 BRISBANE ADELAIDE STREET, BRI SBANE QLD, 4000. YOUR CERTIFICATE WILL NOT BE ISSUED UNLESS THIS FORM IS RECEIVED
REMITTANCE ADVICE
PAYMENT TYPE:
VISA MASTERCARD
CHEQUE/MONEY ORDER
CREDIT CARD NUMBER: _______________________________________________ EXPIRY DATE : ______ / 20______ NAME ON CARD: PHONE NUMBER:
The information provided by you on this form is collected by the Workforce Council for the purposes of recording participant data for reporting purposes. Information identifying individuals will not be released to a third party except where required by law or requested by your employer, where your employer has paid for this activity. For further information refer to the Workforce Councils Confidentiality Policy at www.workforce.org.au