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Course | About | Overview | Organisation | Applications | Student Resources  Melbourne-Australia

Apply for a place on the "Our World in Crisis?" course

You can register your interest and make contact with course organisers by completing the form below.

This form allows joint application for several people. However, unless the principal contact will facilitate communication on behalf of all applicants, please apply individually.

Confirmation of your place will be assured through payment, made separately to this registration of interest. Payment can be made either by cheque or bank transfer.

Make cheques payable to Pax Christi Vic OWIC, and send to "Our World in Crisis?" course, PO Box 31, Carlton South VIC 3053. Please provide reference to your registration of interest online with your mailed payment, and indicate payment by cheque on the form below.

A direct transfer can be made from your bank account to the account of: Pax Christi Vic OWIC  BSB: 633 000  Acct: 131 593 683. [Contact your bank for assistance]

If making a bank transfer, please note your name in the transfer information (contact your bank for assistance), and indicate this payment method on the form below.

 

Name(s) of Applicant(s)

Numbers:  Individual ($450)  
Institutional ($550)   (for organisational applicants)
Low Income ($295)   (for unwaged or low waged)
Total Amount: 

($450 x  ? ) + ($550 x ? ) + ($295 x  ? ) =

$  

I will make payment by:

 

                                                              

Principal contact details
Name  
Title/Position
Organisation
 *Address
Telephone  
FAX  
Mobile
 **E-mail
Additional information, query or request

*  Your postal address will be required to send out 1st week's preparatory reading material

** Your email address will enable us to provide early confirmation of your place on the course

Page Last Updated

Monday, 11. February 2008 12:00 PM +1000


 

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