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Registration Form

- Payment is required when you register (credit card or direct deposit).
- Ensure participant's full name is entered (e.g. Samuel not Sam)
- Registrations are confirmed via email within 24 hours.
- Contact us if you do not receive a confirmation.
- You will be contacted by our team if the course you want is no longer available.
- You must agree to the Cancellation Terms and Conditions.
- Please read the Participants Handbook.
Select Course*
Start Date*
Date Format: DD slash MM slash YYYY
Tick the box below ONLY if renewing a traffic ticket
- Traffic Ticket Re-accreditation
Participant Details (fill in all fields)*
FULL Name Date of Birth USI Number Mobile Phone

Forgotten your USI number? Click here.
Participant Address (Street, Suburb, Postcode)

Please enter each Participants home address respective of the order above
Postal Address
- Same as Street Address
Postal Address*
Employer/Employment Services Provider
Employer/Employment Services Provider Contact Person
Employer/Employment Services Provider Phone
Employer/Employment Services Provider Address
Employer/Employment Services Provider Postal Address
- Same as Street Address
Emplyer/Employment Services Provider Postal Address*
Email*

Enter preferred contact email, call us if you don't have email.
Special Requirements
Dietary requirements, literacy concerns, etc
How did you hear about this course?*
Payee Details*
- Employer/Employment Services Provider
- Participant
Payment Method*
Commercial Account Holders will be Invoiced
Purchase Order Number (if required)
Terms and Conditions
Terms and Condition

Please contact the team on (02) 49 222 333 or email registrations@lgti.com.au for any questions about registering for an LGTI training course.

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FULL Name	Date of Birth	USI Number	Mobile Phone