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COMMUNITY EDUCATION ENQUIRY FORM

Please complete the below form then click submit. Enquiries are open to all adults; no special qualifications are necessary.

PLEASE COMPLETE THE FOLLOWING:
PERSONAL DETAILS
Dr/Mr/Ms/Mrs/Miss
First Names
Surname
Your Email Address
Postal Address
City/Suburb
Postcode
Phone
Mobile
Fax (if applicable)
Company (if applicable)
Type of Concession
ID Number
COURSE DETAILS (Maximum 3)
  Course Code Course Name
1.
2.
3.
Where did you find out about this course?
I agree
 I have read and I understand the refund/cancellation policy. I agree to abide by the regulations of The University of Queensland.
 

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