AFM COURSE REGISTRATION
	Please print out this form and complete  using BLOCK LETTERS and return with payment to: Australian Food Microbiology, PO Box 246, Round Corner, NSW, 2158. Return two weeks prior to course start date.

Personal Details

Organisation:...........................................................................................................................

Address:..................................................................................................................................

...................................................................................     Post Code:   ...................................

Phone Number: ......................................  Fax Number:   .......................................................

Email Address:  .............................................................................

 Course (tick appropriate box)

Payment Details

Course Cost:  $ ........................................

        I enclose a cheque made payable to: Australian Food Microbiology

Booking Conditions

Cancellations notified in writing not less than 7 days before commencement of training will receive a full refund.  Refunds will be made within 14 days.  Participants may be substituted with the permission and knowledge of Australian Food Microbiology.

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