Event Registration Request

Event:*

• Train the Trainer. Applied Gender Analysis Workshop - 22 & 29 February 2012 - WHAV only - $176 (incl. GST)
• Applied Gender Analysis Workshop - 8 March 2012 - Standard rate - $88 (incl. GST)
• Applied Gender Analysis Workshop - 8 March 2012 - Student/Unemployed rate - $44 (incl. GST)

Participant Details

First Name:*

Last Name:*

Organisation:* (If not applicable, enter NA)

Position title:* (If not applicable, enter NA)

Email address:*

Re-enter email address to confirm:*

Billing name and address:*

Phone (business hours):*

Special requirements (if any) - e.g. dietary, accessibility, interpreter:

Confirmation of registration:
Your place is not confirmed until you receive a confirmation email from a WHV staff member.

Fee-paying events:

• An invoice will be issued separately.
• Registrations may be cancelled up to 5 working days prior to the day of the event with a full refund.
• Organisations may send an alternative participant if the registered person is not available.
• Cancellations received within 5 working days of the event will incur a 30% cancellation fee.
• Fees will not be refunded for cancellations received within 24 hours of the event, or for non-attendance on the day.

Add a note or ask a question here:

I would like to receive information about:

• Upcoming WHV workshops
• Clearinghouse Connectors (monthly selection of free online women's health resources from the WHV Clearinghouse)

Privacy statement:
Women's Health Victoria is committed to protecting your privacy and the confidentiality and security of personal information provided by you to us. In terms of the relevant Privacy legislation, we ensure that your personal information will not be disclosed to others, except if required by law or other regulation.

Review your details:
Please check that all details entered are correct.
Please print or save a copy of the details for your records (if required) before submitting.

Contact us:
To amend or discuss your registration after submitting this request, please contact Women’s Health Victoria.

Submit registration:
Submit your registration online using the button below.