Negotiating Agreement 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 this class?
How did you find out about this class?*
Workshop Fee*
Please select the appropriate fee. The discounted rate applies to people on low incomes and ANZPOP Alumni and current students.
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.