Safe Work Australia Week 2009 Registration Form

Please use this form to register your SWAW local event or safety solution. Please provide as much detail as you can regarding the event including who will be presenting at the event, resources that will be utilised (eg watch dvd, power point presentation, role play) and the themes/topics that will be discussed. The closing date for registrations is Friday 16th October 2009.

Your name *

Telephone number - Mobile if possible *

Email Address *

Date of Event *

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year

Time of Event *

Location of Event *

Please provide details of your event/safety solution *