Program Provider Expression of Interest

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Details

Date TBA

Australia

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Organisation's Name*

Name of organisation's representative*

Mobile Number*

Venue Location

TTA accredited coach available*

I understand that there may be an initial cost of up to $250.00 to receive Spinneroos branded equipment, paid Social Media services and pre-designed marketing collateral*

Yes

Which time frame would you like to run your Spinneroos program

Any specific questions/ comments Max. 255 characters

Please note

All prices are inclusive of GST.

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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