Health Ed Professionals P/Ltd

“Health through Education”          

Registrations/Orders/Payments 
You can also print the form with your details, then post or fax to us if you
don't want to use the secure internet submission for your transaction.
Your Details
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First event


PURCHASE BOOKS & CARDS:

          "Uncomplicating Life, Simply" - $35.00 ea.                 Plus postage $6.00  New stock available!

          "ECG's Simply" - $60.00 ea.                                        Plus postage  $10.95     

       Cue Cards - $22.00 ea.   OUT OF STOCK                   (Includes postage)

ADD Packing & postage of product purchases:
1 - 3 books posted to the same address in Australia $10.95 
Larger quantities please email or phone for a quote.

Concession type: Student/Concession No.    University

DOCTORS:      QI&CPD No.         RACGP No.   Required for allocation of points. 

NB. Must be included for student or concession price (offered on specified courses or events only).

PAYMENT METHOD:

  Credit Card  Cheque  Money Order   Invoice my sponsor  Invoice me  Bank Deposit #

# If paying by direct deposit our bank is CBA: BSB 064 450 account number 1045 0656. Swift Code CTBAAU2S
Please indicate on your deposit transaction who the payment is from or details that enable us to clearly identify your payment.


Credit Card Information
Card Holders Name      
Card Number and Type                             
Expires

     Verification Number:                  
         
(Last 3 on back of Visa or Mastercardcard, AMEX 4 digits)

Signature only if posting:

 ______________________   Enter amount Total here.  AU$ 

Please ensure that you have added up the cost of all your items and entered that amount in the box above.
By submitting you agree you have read and accept the Cancellation Policy & Terms & Conditions


         

This is a secure site - your details are protected by SuperSecure SSL.
Your credit card payment will only be processed if stock is available, or places at the seminars or courses are still available at the time of submission. We will advise you if this happens.
Be sure to supply accurate phone and email address details for delivery of invoice and purchases.

Postal addresses:

Health Ed Professionals P/Ltd,
P O Box 746,                                        Phone: 07 5563 3054
Ashmore City 4214                             Fax:     07 5563 1270