Live Happy Seminar - Registration
If you need any assistance completing this form contact Penny at 0448 191 542 or
Organisation (if representing)
Organisation email (for billing)
Which seminar will you attend?
Mildura, Saturday December 2nd, 2017- 9:30am - 4:00pm
Bendigo, Tuesday January 16th, 2018 - 9:00am - 3:30pm
Castlemaine, Tuesday January 23rd, 2018 - 9:00am - 3:30pm
Woodend, Thursday February 22nd, 2018 - 9:00am - 3:30pm
Echuca, Saturday March 9th, 2018- 9:00am - 3:30pm
I wish to apply for funding from Carers Support Services (assessment for eligibility will be emailed to you)
Discounted - 1 person $97.50
Discounted - 2 people $175 ^(see below)
1 person $125
2 people $250 ^(complete below)
Pay what you can or pay it forward schemes
^ If registering two people.
Please complete details below.
Email of 2nd person if different
Facebook advertising or page
Compassionate Therapy client/customer
Bendigo Health - Carer Support Services
Send me a copy of my responses.
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