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Enrolment Form

Please complete the form below to enrol into one of our courses
A deposit is payable upon enrolment (please contact us for details)
Should you require further information prior to enrolment please contact us

Title:		First name:		Last Name:
D.O.B.		Day Month Year

Address:
Postcode:
Home Phone:
Work Phone:
Mobile Phone:
Email Address:


Please select which course you are interested in
Which date would you like to commence your training?


Classroom Training?	yes no
Distance Training?	yes no

Do you have any further queries before enrolling?


How did you hear about this course?
Would like to hear more about our payment plans?	yes no

If paying by credit card we will contact you to ask for your credit card number. Please send Cheque and Money orders to:

H&H Accredited Training College
PO Box 1
Granville NSW 2142

H&H Accredited Training Australasia Inc.
98 South Street, Granville NSW 2142

T: 02 9897 3633 F: 02 9897 2833
E: granville@hnh.org.au

Copyright© 2010 H&H Accredited Training Australasia Inc.