EmailMeForm
2019 WORKPLACE REPS Course 2
Please complete all fields and click on Submit Form. You will receive a confirmation email once you have been registered.
AEU member no
Name
*
First
Last
Workplace
Position
Your Contact Details
Your Postal Address
Street Number and Name
Suburb and Postcode
Email
*
Mobile Number
*
Course
*
Thursday 30 May and Friday 31 May 2019, 9.15am - 3.30pm
Special Requirements
Special Dietary
Disability
Access
Other
Enter details here
*
Relief funding required
*
Yes
No
Relief funding required
*
Yes
No
Your position
*
Please select
Teacher
SSO
ECW
AEW
Number of hours required
*
I require assistance with...
TRAVEL
I require assistance with...
ACCOMMODATION
Preferred flight dates/times/airports/ buses/ferries etc.
Preferred dates, arrival/departure times, name of member you wish to share accommodation with etc.
Additional details, instructions or questions
