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Reservoir – Full Program (Session 1 + 2)
Session 1:
October 8 @ 6:00 pm
-
9:00 pm
&
Session 2: Oct 15 @ 6:00 pm - 9:00 pm
«
Melbourne – Full Program (Session 1 + 2)
Sunshine – Full Program (Session 1 + 2)
»
Details
Session 1:
Date:
08/10/2019
Time:
6:00 pm - 9:00 pm
Session 2:
Date:
15/10/2019
Time:
6:00 pm - 9:00 pm
Cost
$250
Place
Reservoir
Regent Baptist church 734 High Street
Reservoir
,
VIC
3073
Australia
+ Google Map
Step 1 of 2
50%
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. Was your BAC above .15% ?
*
Yes
No
PLEASE NOTE
YOU MUST COMPLETE SESSION 1 BEFORE BOOKING SESSION 2
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
City
State
Post Code
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
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