Building A Practice – The Do’s and Dont’s Enrolment Form Campaign

First Name*
Middle Name
Surname*
Preferred Name*
Gender*
Date of Birth*
DD slash MM slash YYYY
Student Status*
- I am a new IAP student
- I am an existing IAP student
- I am a past IAP graduate
Mobile*
Email*
Enter Email Confirm Email
Date of Session*
Hidden
Price, 2nd needed price
Hidden
Name Invoiced to
Hidden
Email Invoiced to
Hidden
Mobile Invoiced to
Hidden
Amount of Invoice
Hidden
Amount of Deposit
Hidden
Course Amount % to pay
Hidden
This Sets The Course ID
Hidden
This Sets The Type of course

The type of the activity. w = workshop, p = accredited program, el = e-learning
You are safe with us at IAP. We have a strict privacy policy. This includes the collection and protection of your personal information that we gather to process your enrolment into our Registered Training Organisation.

IMPORTANT: PLEASE ONLY CLICK SUBMIT ONCE AND ALLOW 1-2 MINUTES FOR YOUR PAYMENT TO PROCESS. THIS WILL PREVENT ANY DOUBLE CHARGING.