Application ASD

Application Form for Autism Spectrum Disorder

Work shop

Celebrating: Autism Spectrum Disorder – Asperger

 10 am till 5pm

 15 January 2016

 22 Floor, 3 Lochart Road, Hong Kong

 $2299.00

Early bird special offer: $1998.00 ends 1 December 2015.

Completed attendance forms and deposits need to be received by this date.

Please reply by completing your details below and include your check (cheque) deposit.

______________________________________________________________________________________________________________________________________________

Personal Information

Full name: …………………………………………………………………………………Code……………………….

 

Phone number: …………………………………………………………………………………………………………………

 

Email: ……………………………………………………………………………………………………………………………….

 

I will attend the workshop presented by PPC at: 22 Floor,  Number 3 Lockhart Road Hong Kong.

 

Signature_____________________________Date___________________________

________________________________________________________________________________________________________________________________________

Book online or, email the above attendance slip to: admin@pdcentre.com.au

A handbook with readings will be sent to you by email after receipt of enrolment and a check (cheque) for your deposit.

Payment Methods by: Paypal available on this site go to Online Bookings

Or

Pay by check (cheque), made payable to:       Psynaptic Psychology Centre Ltd                                                                                         Postal  address:       22 Floor,  3 Lockhart Road Hong Kong

NOTE: Please remember to include your full name and the code: ASD-Jan 2016 on your check (cheque) so your payment can be easily identified.

Contact: +852 6779 2357

admin@pdcentre.com.au