Reseller Enrolment Form

Zeacom Training (Reseller) Enrolment Form

Thank you for your interest in attending a Zeacom Training Course. Please complete the follwing information. Your enrolment will be confirmed once the purchase order or payment is recieived.

Student Information

* Name

* E-mail

* Mobile

* Company

Address

Emergency contact person (Name and Phone)

COURSE INFORMATION (Course Schedule)

* Course Name and Dates

* Payment Type

Credit Card

Direct Debit

Cheque

Purchase Order (reference)

All POs can be emailed to [email protected] or faxed to (03) 8616 8550.
If paying by Credit Card, Cheque or Direct Debit please contact Zeacom Accounting 1300 932266 to arrange payment.

Cancellation Policy

If, for any reason, the student is unable to attend the training session, Zeacom reserves the right to charge a cancellation fee as follows:

- 5-10 business days notification = 50% fee
- 10+ business days notification = 25% fee

The enrolled student may be replaced with another student at anytime prior to the course without additional fees.

I accept the cancellation policy terms.