Fax Enrolment Form for QSR Eworkshop (AUS)

Fax Registration Form for QSR Online Course

Use this form to complete a faxed enrolment for an online training course by QSR International. Fax your completed form to QSR at +61 (03) 9840 1500.Do not forward completed forms to QSR via email or mail.

Course pricing
Standard price / Student price*
Getting Started with NVivo for Mac Online Course / AU$110 / AU$55
Moving on with NVivo for Mac Online Course / AU$110 / AU$55
All prices are in Australian dollars. 10% GST will apply for residents of Australia.
*Student pricing applies to full time students only and proof of status is required.

Your registration must be received no later than five business days prior to the start of the online course.

PLEASE TYPE INFORMATION BELOW OR PRINT CLEARLY

Your details

Name:
Job Title:
Organization:
Postal Address:
City: / State:
Postcode: / Country:
Telephone (work): / Mobile:
Email:

Course details

Enter the title of the QSR course you wish to attend
(For further details contact QSR via ) / Date / Price AU$
TOTAL COST

How to pay with this form

Use this form to make payment to QSR International in three ways, however to confirm your place, payment must be made within 7 days from the date of enrolment. Please indicate which payment method applies:

Option 1: Credit card payment

Please indicate: MasterCard VISA

Name on card:
Card number:
Expiry date: / /
CVV/CVC number:
(On your Visa or MasterCard, it’s the last three digits in the signature area on the back of your card)
Email address (for receipt):

Option 2:Cheque or bank draft

Make cheques or bank drafts payable to QSR International Pty Ltd and mail to QSR International Pty Ltd, 2nd floor, 651 Doncaster Road, Doncaster, Victoria, 3108, Australia, along with a completed copy of this form. Do not provide credit card information via mail.

Option 3: Direct banking deposit

Please forward this completed form along with a copy of your deposit receipt to QSR International.

Account name: QSR International Pty. Ltd.Bank: National Australia Bank Limited
Account number: 752010260 Branch number: 083 153
Bank address: 902 – 904 Whitehorse Road, Box Hill, Victoria 3128, Australia.

If you’re claiming the student price:

I am claiming the student discount as I am a full-time student. I have provided my current student identification with this enrolment.

QSR online course payments are also accepted online and by telephone. For more information go to the ‘How to buy’ page on the QSR website

Acceptance of terms and conditions
I have read and understood QSR’s terms and conditions (see following page).

Your signature: / Date:

Terms and conditions

Confirmation/Cancellation/Substitution
Thank you for submitting this registration form. QSR will provide confirmation of enrolment and further details of the course as soon as possible. If we cannot accommodate you in this course we will offer you another course or offer you a full refund. You are welcome to allocate your place to another colleague at any time. If you do not receive confirmation by email within 48 business hours of submitting your form, please contact us .

QSR reserves the right to cancel at its sole discretion any particular course or event. In the event that a specific course is cancelled by QSR, then participants enrolled in that course will be transferred to the next available course and notified of the change. In the event that QSR cancels scheduled training and you do not wish to be transferred to another course, you will be provided with a full refund of fees upon request. QSR assumes no responsibility for non-refundable airline tickets or other expenses incurred due to course cancellations so it is suggested that travel insurance be obtained to avoid loss of fares.

Cancellation fees: Cancellation fees will be at the discretion of QSR but will normally be:

More than two weeks before course -AU$20 administration charge.
Between one and two weeks before course - 50% of course fee paid.
Between one day and six days before course - 75% of course fee paid.
Less than 24 hours before course - no refund.

Transfer fees: An administrative charge of AU$50 will be incurred for course transfers within 2 weeks of course date.

Payment: Payment must be made within 7 days from the date of registration; otherwise your booking will not be confirmed.

All QSR course material is protected by copyright and is not able to be copied or utilized by you or any other party without permission from QSR. This applies to the complete course materials or any part thereof.

Legal Disclaimer

QSR will use all reasonable endeavours to ensure that training activities are focused on the needs of attendees. Nevertheless, QSR cannot guarantee that all attendees’ queries will be addressed in the time allotted or that a specific level of skills will be attained as a consequence of attending the course. To the extent permitted by statute, all implied warranties as to the nature and content of QSR’s training activities are excluded and to the extent that such exclusion is not permitted, attendees’ remedies are limited to the extent permitted by the relevant statute.

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