6, 8, 10 Week Programs Booking Form

First name

Last name

Company name

Address

Phone

Email

Which Program are you choosing?

6 Week ProgramA$2750

8 Week ProgramA$3200

10 Week ProgramA$3650

What workshops would you like in your program?

Please pick your preferred start date.

What day of the week would you like to have your workshop on?

What is your preferred workshop frequency?

Weekly

Fortnightly

Monthly

Is there onsite parking for the STEM Presenter?

Yes

No

Is there a particular entrance, gate or any other information we might need to know to access your service?

Is there a smartboard, tv or projector for presentation use, if required?

Yes

No

Other

Our workshop prices are based on 30 children per workshop. How many children do expect to attend each workshop. Additional charges might apply for more children.

I have read and agreed to the terms and conditions

Yes

No

Your Signature

Yes, subscribe me to your deals, emails and initiatives so I don't miss out!

6, 8, 10 Week Program Booking Form

6, 8, 10
Week Program
Booking Form