IRATA Rope Access Courses Book Online

Course Booking Form
  1. Personal Information

  2. First Name*
    Please enter your first name
  3. Surname*
    Please enter your surname
  4. Company
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  5. Contact Information

  6. Email*
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  7. Address*
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  8. Suburb/City*
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  9. State
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  10. Post Code*
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  11. Country
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  12. Phone*
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  13. Course Information

  14. Course*
    Please select your course
  15. Current IRATA Level
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  16. Current Expiry Date
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  17. Current IRATA Number
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  18. Date of Last Assessment
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  19. Do you have an IRATA log book?*

    Please select your answer
  20. Total hours in log book
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  21. Current First Aid Certificate?*

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  22. Current First Aid certificate required for Level 3

  23. Dates*
    Please select your course dates
  24. Special Dietary Requirements
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  25. Payment Details

  26. Payment Method*

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  27. Booking Date

  28.  

    Cost: $1,760 incl. GST per person.

    Note: Booking confirmed once full payment is received.

    Additional fees payable for non-standard applications.

    Cancellation of booking incurs a fee of $330.00.

     

    Make cheques payable to:

    Vertigo Specialist High Access Services

    Mail to:

    PO Box 530

    North Melbourne, Vic, 3051

     

    EFT to National Australia Bank:

    BSB: 083 170

    Account: 634 157 253

    Reference: *your name*

  29. Confirmation

  30. Please send confirmation by*


    Please select how to receive confirmation
  31. Submit Registration

  32. How did you hear about us?
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  33. Comments / Message
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