EmailMe Form - ARC ALS1/ILS Course Manual Order

ARC Course Centre *

Number of ALS1/ILS manuals /certificates ordered ($77.00 ea) *

PLEASE CONFIRM: Number of ALS1/ILS manuals /certificates ordered *

Confirm Total Cost to be invoiced (AUD) *

$ Dollars

Date (first day) of next course manuals to be used for *

MM / DD / YYYY

Intended number of candidates on above provider course *

Type of ALS1/ILS Provider Course *

Please send consignment to:

Individual and Course Centre administration/address where manuals to be sent:

Name *

First Last

Professional Role/Title

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

Confirm Phone Number

Email *

Confirm Email

Please send the invoice to the Finance Department (full details please)

You will be invoiced at the time of dispatch and payment terms are 30 days nett

For Attention of: Name

First Last

Position *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Contact Phone Number

Fax

Email

Confirm Email

Terms and Conditions

• Orders may be submitted at any time but please note that manuals may not be dispatched  until previous invoices settled
• The course must be registered and approved for certificated manuals (faculty list notification complete)
• This is an official purchase order form for a registered course centre
• You will be invoiced at the time of dispatch and payment terms are strictly 30 days nett
• If the invoice is not settled within 30 days future ARC courses may not be registered
• No refunds or credits are available on registrations for candidates not achieving or attending courses
• No refunds or credits are available on unused registrations (transfer of certificated places to following courses may be possible if the hard copy manual remains in course centre possession)

For queries concerning the dispatch of manuals, above conditions or queries concerning invoice please contact the ARC Executive Officer via email on: arc@surgeons.org

I have read and accept the above terms and conditions *

YES

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