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Biotechnology Research Centre
Activated Sludge Posters
Course Registration Form

Location
Biotechnology Research Centre,
La Trobe University,
Edwards Rd, Bendigo

Contact Address

Biotechnology Research Centre,
La Trobe University,
PO Box 199, Bendigo
Victoria 3552
Australia

Telephone:
+61(3) 5444 7369 or
+61(3) 5444 7459

Facsimile:
+61(3) 5444 7476

Email:
brc@latrobe.edu.au



Biotechnology Research Centre
Workshop Registration Form

WORKSHOP REGISTRATION FORM
Participant Details
Full Name :
Position Title :
Postal Address :
City :
State :
   Postcode:

Country :
Email Address :
Phone (bus):
(mobile):
 
Declaration

I indemnify the University and hold the University harmless from and against, any loss, cost, expense, or liability arising from any claims, demands, or proceedings by any person against the University whatsoever:

  1. Arising from my use or attempted use of any service, facility, or equipment connected to the La Trobe University information technology network;
  2. Arising out of any hardware or software contamination resulting from such use;
  3. Brought by any third party against the University for infringement of that third party's Intellectual Property Rights arising out of my use of any information technology service provided by the University;
except to the extent that such loss, cost, expense or liability arises from or is attributable to any negligent act or omission, or wilful misconduct on the part of the University, its officers, employees, contractors and agents.
Signature of Participant :
Date :
 
Workshop Details
Please tick the corresponding boxes below for workshops you wish to enrol in.

Workshop 1: Activated Sludge Plant Design, Operations and Troubleshooting Workshop $1800+GST(AUD)

Workshop 2: Microscopic Identification of Filamentous Bacteria in Activated Sludge Workshop $400+GST(AUD)

BOTH above workshops $2200+GST (AUD)
** Special discounts are available for students and trainers **
 
Activated Sludge Posters
Please specify the number of posters required below.
Please add US$10 postage/packaging for 1-4 posters.
* Deduct 5% from purchase price for orders of 5-10 posters.
** Deduct 15% for orders of more than 10 posters.
(Australian prices are AUD $95 and $85 respectively + $10 postage)

copies of Filamentous Bacteria Poster @ US$75.00

copies of Protozoa and Metazoa Poster @ US$60.00
$
(specify total poster fee here)
 
 
Cheque enclosed :
 Please make payable to La Trobe University, Bendigo
Invoice Required :
 Please supply Purchase Order
Credit Card:
 Click here for Credit Card Payment form
 
Please and have it authorised and then:
Fax it to us at :
 +61(3) 5444 7476
Post it to us at :
 Biotechnology Research Centre,
La Trobe University,
PO Box 199, Bendigo
Victoria 3552
Australia
 
Office Use Only
Cost Centre :
Fund :
Account :

Page maintained by: Biotechnology Research Centre
Last Updated: August 23, 2006