KetoCollege Australia 2017 Booking Form

Venue: Melbourne, Australia

Date: Thursday 30th and Friday 31st March 2017

Booking Form

Option Required*

Your Profession*


First Name* (required)


Job Title / Position*

Hospital / Centre*



Zip / Postcode


Business Phone


* Fields marked with an asterisk will appear on your delegate badge.

Kindly specify any special dietary requirements:

Please indicate your method of payment: Credit card / BACS / Invoice

One booking form per delegate to be sent to Julie Fountain


  • Day Delegate Rate Attending Thursday Only AUD $235
  • Day Delegate Rate Attending Friday Only AUD $235
  • Day Delegate Rate Attending Thursday AND FRIDAY AUD $435

Payment is due on sending your completed booking form.  Bookings are not confirmed or held until full payment is received.   Your confirmation will be sent upon receipt of payment.

Method of Payment

  1. BACS payments may be made to:
    Account Name: ‘Matthew’s Friends Clinics Ltd’
    Sort Code: 40-35-40 Account Number: 21478451
    BIC: MIDLGB2148L IBAN: GB24MIDL40354021478451
    Please quote ‘KC Aus’
  2. Via a Paypal invoice (all major credit/debit cards are accepted, you don’t need a Paypal account). Please request this method of payment by emailing after you have completed your booking form

Contact Details

Tele: +44 (0) 1342 836571
Fax: +44 (0) 1342 837792
Mob: +44 (0) 7748 800438
Address: Matthew’s Friends, St Piers Lane, Lingfield, Surrey RH7 6PW. England UK


Delegate fees are refundable subject to a £30 admin fee and any applicable bank charges sustained up to 14 days prior to the start of the meeting.

After that time we are unable to offer any refunds. Registrations may be transferred to another name up, to 7 days prior to the meeting.

After that time we are unable to offer registration transfers.

Confirmations will be sent upon receipt of completed booking form and payment.

Delegate places are not confirmed until full payment is received.