Corporate In-House Booking Form "*" indicates required fields Step 1 of 5 20% Company DetailsCompany Name* Company Phone Number*Company Address* Street Address City State / Province / Region ZIP / Postal Code Is the postal address different?*YesNoPostal Address Street Address City State / Province / Region ZIP / Postal Code Invoice/Receipt to be issued in the name of:* Based on the information provided and the numbers of agents attending each session, ACOP will issue an invoice. The invoice needs to be paid 7 days prior to the training being conducted. Company Booking Co-ordinator DetailsTitleMrMrsMissMsDrRevName* First Last Email* Enter Email Confirm Email Position in Company* Mobile*Work Phone* Course DetailsCPD Courses Only: As discussed with ACOP, are there any topics that you would like included for this session? Note that if new material needs to be prepared, there may be an additional fee. You will be contacted to discuss if this is the case.*YesNoSpecial Topic(s) - CPD courses only. We need at least one month notice to prepare special topics.How did you hear about us?Returning CustomerACOP WebsiteWord of MouthDatabase EmailPostal AdvertisingSmoothFMGoogleFacebookTwitterOtherIf other, please state: How many people do you want to register for the course?*123456789101112131415161718192021222324252627282930This form allows a maximum of 30 students.List*First Name (Legal Name)SurnameEmail AddressLicence NumberLicence Class (Class 1, 2 or 3)Licence Category (Real Estate, Strata and/or Stock)Mobile Add RemoveClick on the + sign to add more students. The name must be the legal name that appears on the students property licence. I declare that the information provided on this enrolment form is, to the best of my knowledge true, correct and complete. I agree to be bound by the Australian College of Professionals policies and procedures whilst I remain an enrolled student. I authorise Australian College of Professionals to release personal and/or medical information for educational purposes or to meet legal obligations or in the case of an emergency in accordance with the privacy policy and procedures. I agree to pay all fees and charges relating to my enrolment, unless payment is to be made by my employer or another contracted third party. I have read and understood the conditions relating to fees and refunds. (There are no refunds for cancellations less than 24 hours prior to commencement of the training. For cancellations less than fourteen (14) days prior to the training course, the College will transfer your enrolment to another date but no refund will apply. For cancellations more than fourteen (14) days prior to the training course, an administration fee of 20% of the course fee will apply. For course transfers less than 24 hours prior to the commencement of the training, an administration fee of 50% of the course fee will apply. Distance Education Courses - no refunds will apply after the course materials have been issued.) I acknowledge that ACOP reserves the right to cancel or condense courses due to unforseen circumstances and/or if minimum course numbers are not reached. Students will be offered a full refund for any course fees paid for the cancelled course or have their course fee credited towards another ACOP course. Declaration* Please tick this box to confirm that you have read and accepted the above declaration Date DD slash MM slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ