Aqua-Seal STC™
Tile & Grout - Care & Maintenance Course
Fri 18 & Sat 19 Nov 2011 - Melbourne ,VIC
Applicants Name: Date:
Company Name:
Address:
Suburb: State: Post Code:
Phone: Fax: Mobile:
E-mail: Website:
1. How did you hear about our seminar?
2. How long have you been in the tile industry or hard surface business?
4. What do you or your company specialize in?
5. What do wish to gain from this seminar?
7. Where do you plan to offer this new service?
8. Do you currently work with the Aqua-Seal STC™ Products?
9. Course allocations will be on a rst paid rst choice basis. Attendee numbers are limited.
Course Date: Friday 18th & Saturday 19th September 2011
Time: 9:30am–5:00pm both days
Venue: Jena Dyco, Unit 22/23-25 Bunney Rd, OAKLEIGH VIC (Parking on Bunney Rd)
10. If you require accommodation, you can contact the following hotel:
A. The Buckingham International, 1130 Nepean Kwy, HIGHETT, VIC (Approx 15-20 minutes drive from venue)
Phone: 03 9550-0011 or www.thebuckingham.com.au
Note: Quote "JENA DYCO" for discounted rate of $142.00 per night - 1 bedroom
Signature: Date:
Cost
$600.00 plus GST = $660.00 Total
Includes: Training & Technical Manual, Morning & Afternoon Tea, Lunch.
Should a cancellation occur up to 7 days prior to the event, a $200.00 plus GST
cancellation fee will apply.
Should a cancellation occur within 7 days of the event, full payment will apply.
Payment
Payment must be received in full at time of booking to conrm your place.
Course allocations will be on a rst payed rst choice basis.
Please forward your completed application form and full payment (cheque/money order or direct deposit) to:
Aqua-Seal STC
PO Box 3001
Kirrawee NSW 2232
Stone, Tile & Concrete Solutions
Bank Details for payment
Bank ANZ Sutherland NSW
BSB 012- 430
Account Number 108 748 563
Account Name Aqua-Seal STC™
(Please fax conrmation of transaction to 02 9521 5222)
For more information contact
A’nge Kokkaliaris at Aqua-Seal STC™ on 02 9521 4000 or 0413 059 935 or email info@aqua-seal.com.au
