NVC Mediation Training Registration & Payment Form


Yes No I have completed two or more days NVC training with a certified trainer.



Is there anything you would like us to know about (e.g. health condition, allergies, disability) in order to support your wellbeing and full participation at the training? Please outline and/or make specific requests below:


As there is limited parking on site we encourage you to use public transport or car-pooling. Once you have registered we will email you links to join a Google Group of registered participants for the purpose of arranging car-pooling and other transport.
I would like a lift from:
I can offer a lift to people from
Other (please indicate)


Please select one or more of the following to indicate your dietary preference:

  • Omnivore
  • Vegetarian
  • Vegan
  • Gluten-free
  • Dairy-free

Payment can be made by direct deposit, or by PayPal (details below). Credit Card payments are via PayPal.


  • non-member $850: | C2Ci member $750: before the 15th September
  • non-member $950: | C2Ci member $850:
  • non-member $750: | C2Ci member $650:

  •   -> Balance owing if paying deposit = $0

Choose if paying on invoice:

  • Pay now
  • Pay on invoice (invoice Issued before payment) > Invoice made out to:
    (will be sent to your email address)

Select Payment Method Option (credit card payments are via PayPal)

  • Pay by PayPal (incurs a 2.8 % surcharge = $)
  • Pay by Direct Deposit (Australia only)
  • Pay by Overseas Bank Transfer (+ $12 for our bank's fee + your bank's fees)

Order Details for NVC Mediation Training:
Training: ? = AU$0
Lunches: AU$0
Pay Deposit: no
PayPal Fee: AU$0
OS TT Fee: AU$0

Total to Pay now = AU$

Please NOTE, this payment is to be made in Australian dollars (AU)

EFT & Direct Deposit Instructions

Our account details for deposits are:
A/C Name: Communicate2Connect Inc
BSB: 034086
A/C: 265856
SWIFT Code: WPACAU2S (for overseas bank transfers)

Bank Address – Westpac Branch, Shops 6 & 7, Centro Lutwyche, 534 Lutwyche Road, Lutwyche, Queensland, Australia 4030

(account holder full details)
Communicate2Connect Inc
POSTAL: PO Box 2487, Graceville, Queensland, Australia 4075

Description: Please put into the Description or Narrative section of your EFT or Direct Deposit, your name or initials & "MED" (for example TAdams_MED)

If paying by Electronic Funds Transfer or Direct Deposit, please email Deborah (deborahmoseley1@gmail.com) with your name, date money deposited or transferred, and the amount.

Receipts will be issued after funds have been cleared in our bank account.

Thank you :)


Full refunds of training fees can be made up to 15th September 2017, minus 10% admin fee, if you need to cancel your training booking.
After 15th September we can refund your training fees, minus 10% admin fee, if your place can be filled.

Please check: I have read and accept the Terms & Conditions (required)