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Online Enrolment

Please note: at this point in time we do not have a secure server for processing online credit card payments. Please fill in this form and we will call you to obtain your credit card details. Only submit this form if you intend to pay by credit card - Mastercard & Visa only. EFTPOS payments must be made in person.

Please ensure that all course details entered into the form are correct, and that you have read the enrolment information e.g. refunds and transfers.

Your Details

Name:

Street Name & Number:

Suburb:

Postcode:

Telephone (Business hours):

Telephone (After hours):

Email Address:

Type of Concession:
(Incl. campus if Monash Student)

Concession ID Number (if applicable):

Course Details

Name of Short Course

Short Course Code

THANK YOU!

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