Wild Grasses of Victoria Course
Register here by 5 pm on Friday, 11th October 2019 to apply for Dr Graeme Lorimer's 31st annual Wild Grasses of Victoria course, presented by Biosphere Pty Ltd. As long as your application meets the due date, it won't matter when you apply.

For course details, go to http://www.biosphere.net.au/WildGrasses.html.

Course Application Form
Places in the course are strictly limited. A random ballot will allocate positions after giving priority to people who missed out last year (so no-one has to wait more than one year). The outcome of your application will be notified by 18th October 2019. If you miss out at that point, you'll go on a waiting list.

The course fee is $600+GST = $660, or $495 with proof of Austudy or a Health Care card. That includes extensive course notes and identification keys. No payment is required until you receive an offer of a place in the course, then pay by direct credit or cheque.

Given name *
Your answer
Family name *
Your answer
Organisation
Your answer
Email *
Your answer
Phone no. (preferably mobile)
Your answer
Your location, if not metro Melbourne
Your answer
Did you miss out in last year's ballot?
If you receive an offer, what name should appear on the invoice as the payer? *
Your answer
Would you need to provide a purchase order first? *
Concession? (with proof of Austudy or health care card) *
Ballot place combination
If your name goes into a random ballot and you wish it to be combined with one or more friends/workmates, please nominate them here. This ensures that none or all of you get a place. This does not affect the likelihood of getting a place.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service