EmailMe Form - AMI 3-6 Orientation Certificate 2025, ONLINE

Name
First Last
School
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Personal Email
Phone: Daytime
Phone: Evening
Payment Options
Internet payment MMEF, ASB Bank 12 3048 0417212 00
Early bird registration $990 + GST ($1138.50 before Friday 25th July 2025. After 25th July $1320 + GST.
For Internet Payment include as a reference: your name and 3-6OC, e.g. OC3-6Bloggs.

For cancellations after the time of booking please refer to the refund policy on the 3-6 Orientation Course registration form.
D.O.B. (for AMI use)
MM / DD / YYYY
Nationality (for AMI use)