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Webinar Drug Program – Full Program (Session 1 + 2)
Session 1:
August 19 @ 6:00 pm
-
9:00 pm
&
Session 2: Aug 26 @ 6:00 pm - 9:00 pm
Details
Session 1:
Date:
19/08/2021
Time:
6:00 pm - 9:00 pm
Session 2:
Date:
26/08/2021
Time:
6:00 pm - 9:00 pm
Cost
$300
Place
Webinar
Online BCP
Melbourne
,
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.
For Drug Drive Behaviour Change Programs
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
*
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
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:
Full Program Fee
*
Price:
$ 0.00
VicRoads Fee
*
Price:
VicRoads Fee
*
Price:
Pay via credit card through Paypal. 3% surcharge applies.
*
Price:
$ 0.00
Total:
$ 0.00
Name
This field is for validation purposes and should be left unchanged.
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