Event Registration Form

Yes, please register me for your event!

* Indicates required field

"Achieving Work / Life Balance" event dates *

3 month Webinar / Coaching Program - Date to be confirmed (Queensland, Australia time) Half Day Workshop (Gold Coast ) - Date to be confirmed (Queensland, Australia time) Half Day Workshop (Brisbane) - Date to be confirmed (Queensland, Australia time)

Total Number of Tickets required *

Name *

First

Last

Business or Company Name *

Email *

Phone Number *

Address for invoice *

Comments, questions or special requirements *

Tick the box if you like to be added to our mailing list for events *

Yes please add me to your mailing list

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