Facilitation Master Class Series Registration

Facilitator’s Inner Work, 7 March 2023
Understanding Role Dynamics in Groups, 21 March 2023
Working at the Learning Edge, 4 April 2023
Negotiating Agreement, 2 May 2023
Power, Rank and Privilege in the Facilitator Role, 16 May 2023

Facilitation Master Class Series Mar-May 2023 Registration

Name*
First Last
Preferred Name
Email*
Phone*
About Your Work Context*
What is your work role and how much facilitation does it involve?
Learning Goals*
What are you hoping to get out of these classes?
How did you find out about these classes?*
Would you like to sign up to our newsletter?
- Tick the box to sign up
Workshop Fee
Please select the appropriate fee. The discounted rate applies to people on low incomes and ANZPOP Alumni and current students.
How would you like to pay?*
- Pay via Paypal or credit card
- Pay via Direct Deposit
- Send an invoice for my employer to pay
Payment via Direct Deposit
Our bank details are: BANK: Bank Australia, BSB: 313-140, ACCT: 12281414, NAME: ANZPOP. Please put FMC2023 in the reference line so we know what the payment is for. Tick the box to indicate the payment has been made and click the Register button below to finalise your registration. Registrations are only complete once both the form and the payment are received.
I've paid by Direct Deposit
Name of the organisation paying the training fee
Is there a particular person in the organisation we should address the invoice to? If so, enter their name below. If not, leave it blank.
First Last
To what email address should we send the invoice?
Payment

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Click on the Paypal button to pay by either Paypal account or credit card. A Paypal window will pop up and you can select the payment method in the window.