Payment by Credit Card

Name*
Organisation*
Postal Address*
Mobile Phone*
Work Phone*
Email*
Enter Email Confirm Email
Facilitator Training Quantity*
Please enter the number of people that are attending the Facilitator training
($850 +GST each)
Note: If you are making a non-standard payment please add "0" in the quantity box and complete the Other Payment field below
Price: $ 977.50
Other Payment
Please enter the amount owing.
Leave blank if you do not need to make a custom payment.
Additional Message
Total
$ 0.00
Please enter your invoice number if known.
When you click submit below you will be redirected to Paypal where you can pay the total using a credit card.