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Graeme Lorimer, PhD

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Enrolment Form<br />

To enrol more than one person, please fill out a form for each person even if there is just one payment.<br />

Name ........................................................................<br />

Organisation ........................................................................<br />

Address ........................................................................<br />

........................................................................<br />

........................................................................<br />

Postcode<br />

Phone no. ........................................................................<br />

E-mail ...............................................................................<br />

Please enclose a cheque or money order for the enrolment fee, or phone 8711 3454 to arrange direct credit or<br />

invoicing.<br />

Total amount enclosed : $..............<br />

If claiming the concession, please quote Austudy or Health Care card number and expiry: ............................<br />

Please make cheques payable to Biosphere Pty Ltd and mail to:<br />

Biosphere Pty Ltd<br />

13 Kyamba Ct<br />

Bayswater North, Vic. 3153<br />

A receipt and detailed instructions about the course venue and preparations will be sent to you.<br />

Oversubscription policy: This course always books out quickly. Limits may be imposed on<br />

numbers of positions available per organisation; otherwise, priority is given to the earliest<br />

applicants to provide payment or a purchase order number.

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