Spiritual Care Series
Order Form
Step 1 of 5 - CUSTOMER DETAILS
20%
Date of Order
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Date Format: DD slash MM slash YYYY
Organisation Name
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Contact Name
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Street Address
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City
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State
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Postal Code
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Enter delivery address if different to street address above.
Delivery Address
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Job Title
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Email
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Phone
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Spiritual Care Series Bundle
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Includes - 2 x Facilitator Guides, 10 x Participant Workbooks, 1 x DVD box set and is inclusive of all taxes.
Price:
$ 650.00
Quantity:
Additional Users
Includes 1 x Bridge Licence and 1 x Participant Workbook (Note: additional user licences and /or workbooks are only required if you intend to train more than 10 volunteers at anyone time)
Price:
$ 65.00
Quantity:
Sub Total
Shipping
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Are you a member of Meaningful Ageing Australia?
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To check to see if you are a member of Meaningful Ageing Australia
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Total
Commencement Date
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Insert date. Note: this is the date which you anticipate your first course will commence. Your annual licence will also commence from this date.
Date Format: DD slash MM slash YYYY
Payment Terms: On receipt of invoice
This Licence Agreement is between Health Television Network (HTN) and the Customer, of whose details appear in the Customer Details section of this form. This Agreement is dated as of the Commencement Date which is set out above. I acknowledge that I will read the HTN Terms and Conditions that will appear in the next screen and I will either accept or reject the HTN Terms and Conditions, on behalf of the Customer, as its duly authorised representative.
Name
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Date
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Date Format: DD slash MM slash YYYY
Position/Title
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This Agreement is for an initial 12 months term commencing on the Commencement Date (the Term) and to be extended for a further 12 months unless terminated by the Customer or HTN.
Subject to the Customers compliance with this Agreement, during the Term, HTN will provide to the Customer for use by Facilitators and Users, access to the HTN Bridge online platform for Assessments, Video content, downloadable Learning Resources, as well as all current tools and resources relating to the Spiritual Care Series.
The total number of User Logins allocated under this Agreement may not at any time exceed the total number paid for by the Customer as nominated in the Product Selection on this order form, but can be increased at any time upon payment of the additional fees current at that time.
HTN will invoice the Customer on the nominated Commencement Date.
Terms and Conditions
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I have read and agree to the terms and conditions
Phone
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