Mental Health First Aid Registration
Please use this form to register for a Mental Health First Aid Course.
Email address *
First name *
Your answer
Surname *
Your answer
Department and Organisation *
Your answer
Contact Number *
Your answer
I would like to register for the following MHFA course *
Required
Who is responsible for payment of this course? *
Organisation Name & Contact Person
Your answer
Organisation/Contact Person Email for invoice
Your answer
Organisation/Contact Person Phone number
Your answer
Payment Details
Total Cost of Course = $450

Non-refundable deposit required to secure this registration = $200
Please read conditions of registration below.

Conditions of registration
1. A deposit of $200 is needed to complete your registration. Once this form has been completed, APMHA will email you your reference number to be included with your deposit.
2. Payment in full is required 10 business days prior to the event date.
3. Fees will not be refunded if participants cancel or request transfer 5 business days prior to the event date.
4. A person may transfer their registration to another person if they have paid in full.
5. A refund will not be granted under any circumstances if cancellation or transfer requests are received 5 business days (or less) prior to the event date. This is due to the committed costs involved in running this event.

PLEASE NOTE: Deposits will be refunded if APMHA is required to cancel an event due to low participant numbers.

Pay $200 deposit now to secure your place to:
VPMHA Pty Ltd (trading as APMHA)

BSB Number: 033018

Account Number: 358263

You will be emailed a reference number to quote during payment

Are you interested in any other MHFA courses? *
Required
How did hear about this training? *
Required
Have a Question?
If you have further questions about this course, please email education@apmhalliance.com.au or call 1300 514 811

Thank you for your registration

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This form was created inside of Australian Primary Mental Health Alliance. Report Abuse - Terms of Service - Additional Terms