Course Payment Name* First Last Email* Address* Street Address Address Line 2 ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Program*Which program will you be attending in 2022?North West Hub ProgramCity of Whittlesea ProgramCity of Melbourne ProgramKnox City Council ProgramMoreland City Council ProgramYarra Ranges Council ProgramRegistration type North West Hub program - Autumn Program* Full price- Tri-Council Resident (Hume, Macedon Ranges, Melton Councils) ($175 incl gst) Concession price- Tri-Council Resident (Hume, Macedon Ranges, Melton Councils) ($45 incl gst) Full price- Non-Tri-Council Resident ($350 incl gst) Concession- Non-Tri-Council Resident ($90 incl gst) Registration type Yarra Ranges Program - Autumn Program* Full price- Yarra Ranges City Council Resident ($175 incl gst) Concession price- Yarra Ranges City Council Resident ($45 incl gst) Full price- Non-Yarra Ranges council Resident ($350 incl gst) Concession- Non-Yarra Ranges council Resident ($90 incl gst) Registration type Moreland program - Autumn Program* Full price- Moreland City Council Resident ($250 incl gst) Concession price- Moreland City Council Resident ($70 incl gst) Full price- Non-Moreland council Resident ($350 incl gst) Concession- Non-Moreland council Resident ($90 incl gst) City of Melbourne Program - Summer Program* Full price - City of Melbourne ($350 incl gst) Concession price - ($90 incl gst) Registration type : Whittlesea program* Full price- City of Whittlesea resident ($250 incl gst) Concession price- City of Whittlesea resident ($90 incl gst) Full price-non-City of Whittlesea resident ($350 incl gst) Concession- non-City of Whittlesea resident ($90 incl gst) Registration type : Knox City Council - Autumn Program* Knox Council resident environmental volunteer ($45 flat rate) Knox Council resident, non-environmental volunteer ($175 flat rate) Full price-non-City of Knox resident ($350 incl gst) Concession- non-City of Knox resident ($90 incl gst) HiddenRegistration type* Full Price- City of Greater Geelong resident (incl gst) Concession- City of Greater Geelong resident (incl gst) Full Price- NON City of Greater Geelong resident (incl gst) Concession- Non City of Melton resident (incl. GST) HiddenRegistration type INVISIBLE* Full Price- City of Melton resident (incl. GST) Concession- City of Melton resident (incl. GST) Full Price- Non City of Melton resident (incl. GST) Concession- Non City of Melton resident (incl. GST) HiddenRegistration type- INVISIBLE*Please note 'host council residents' refers only to people residing in the program council area eg if you've chosen the Manningham program and you live in the Manningham council area, you are eligible for the discount. Host Council (Manningham) Resident-Full Price (incl. GST) Host Council (Manningham) Resident- Concession (incl. GST) Non-resident (Manningham) full price (incl. GST) Non-resident (Manningham)concession (incl GST) Please provide concession card number*Concession is available for full time students, healthcare card holders and Pensioner Concession card holders, but you must provide card number details for verification. **Please bring your card along to the first session Total $ 0.00 payment method* Online: Tax invoice generated automatically Credit CardCard Details Cardholder Name