PLEASE FILL IN THE FORM, PRINT FORM AND EITHER FAX or MAIL US THE FORM or SIMPLY EMAIL US YOUR DETAILS:

Mr, Mrs, Ms, Other
Name
Company Position
Business Name
Business Address
Address (cont.)
State
Post Code
Postal Address (if different)
Postal Address (cont.)
Work Phone
FAX
Email Address to send service to
INDICATE SERVICES SELECTED (Yes)
QUEENSLAND Workplace Health and Safety
Electrical Safety
Fire Safety
Workers'  Compensation & Rehabilitation

Industrial  Relations
Child Employment
Coal Mining Safety and Health
Mining and            Quarrying Safety and Health

VICTORIA Occupational Health and Safety
Workers Compensation
Number of years         subscription

PLEASE INDICATE METHOD OF PAYMENT (Yes)

Total Amount       
 

by Direct Deposit via Internet or Phone or at the Bank  

  

(Westpac BSB 034 033 Account No: 184032) 

If you are paying by Direct Deposit, please email us confirmation of your deposit.

by Cheque                      

 

by Money Order    

           

 

_________________________________________________

 

by Credit Card          Please phone to pay by Credit Card (07 3420 3120 or 0439 784 490).

 

Note: For your security, do not send Credit Card details by email or the Internet.

 

_________________________________________________

 

OHS Legislation by Email Pty Ltd

ABN  71 789 520 213

PO Box 153 Moorooka Q 4105

Ph 07 3420 3120 or 0439 784 490

Fax 07 3259 8141   

Email:  Click here