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Geelong Drug Program – Full Program (Session 1 + 2)
Session 1:
August 6 @ 6:00 pm
-
9:00 pm
&
Session 2: Aug 13 @ 6:00 pm - 9:00 pm
«
Geelong Drug – Full Program (Session 1 + 2)
Geelong Drug – Full Program (Session 1 + 2)
»
Details
Session 1:
Date:
06/08/2020
Time:
6:00 pm - 9:00 pm
Session 2:
Date:
13/08/2020
Time:
6:00 pm - 9:00 pm
Cost
$300
Place
Geelong A
Diversitat Training, 68-70 Little Ryrie Street, Geelong
Geelong
,
Victoria
3072
Australia
+ Google Map
Step 1 of 2
50%
PLEASE NOTE
YOU MUST COMPLETE SESSION 1 BEFORE BOOKING SESSION 2
Sorry ...
You are not eligible for the program. Please
contact us
for more information.
Requirements to do the Program
1.Is this your first offence?
*
Yes
No
2. Did you refuse a drug test?
*
Yes
No
Session 1 Completion Confirmation:
*
I have already completed session 1
Booking overview
Please confirm your booking here:
Location:
*
Program:
*
Price:
*
Date & Time:
*
Follow on Session Details
Session 2 Date & Time:
*
Personal information
Fields with
*
are required
Name
*
First
Last
Email:
*
DOB
*
Date Format: DD slash MM slash YYYY
Phone:
*
Licence Number (If you have one)
Address
*
Street Address
Address Line 2
Comments:
Payments
Payment Options:
*
Make a Full Payment
Pay Deposit
I will pay later
Do you have a concession card?
*
Yes
No
You will be required to provide a valid Heath Care Card, Pension Card, or Gold Care card Ref
Concession Card Ref:
*
Program Fee Deposit
*
Price:
$ 100.00
Full Program Fee
*
Price:
$ 0.00
VicRoads Fee
*
Price:
$ 67.00
VicRoads Fee
*
Price:
$ 34.00
Pay via credit card through Paypal. 3% surcharge applies.
*
Price:
$ 0.00
Total:
$ 0.00
Comments
This field is for validation purposes and should be left unchanged.
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