-- Enrol Pelvicon Attendees

Shopping Cart

Your Cart is Empty

Quantity:

Subtotal

Taxes

Shipping

Total

There was an error with PayPalClick here to try again

Thank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Home
~ EDUCATION & TRAINING
~ WHTA MEMBERS
~ Physio Locator
~ Contact Us

Home
~ EDUCATION & TRAINING
~ WHTA MEMBERS
~ Physio Locator
~ Contact Us

PRE-REQUISITE THEORY FOR

PRE-CONFERENCE PESSARY WORKSHOP

Adv POP / SUI

Theory

This enrolment form is specifically for physical therapists who have already had their enrolment confirmed by Pelvicon for the PELVICON Pre-Conference Pessary Workshop on Thursday 7th September.

Please note: for International Physiotherapist needing an alternate Pessary Practical Workshop for the POP/SIU Course please use the standard WHTA Level 3 Advance Pelvic Floor Course enrolment form.

COURSE: WHTA Advanced Pelvic Floor - POP / SUI

DATES: Mon 7th August, Tuesday 8th August, Sat 12th August, Sun 13th August

TIMES: USA (West Coast): 7am - 3.00pm each day

USA (East Coast): 10am - 6.00pm each day

UK / IRELAND: 3pm - 11.00pm each day

TOTAL HOURS: 30hours

FORMAT: LIVE ONLINE (no recordings available)

COURSE FEE: $710AUD (approx USD$470 at time of website publishing)

Notes on Course Fee

1: Lifetime WHTA Membership is AUD$90 and reduces course fee to $620 (ie lifetime membership is therefore free if you join)

2: This course fee does not include the fee for the pessary practical which is paid directly to Pelvicon.

3. Course fee is charged in AUD. Current exchange rate to USD will apply at time of payment.

Note: a 500page printed hard copy manual for the course will be sent to each attendee. Please make sure your mailing address is correct.

ENROLMENT FORM

Name (FIRST and LAST NAME)*

Have you enrolled in PELVICON 2023 in Atlanta?*

YesNo

Have you enrolled and been confirmed as having a place in the Pelvicon Pre-Conference Pessary Workshop?*

YesNo

SELECT COURSE FOR ENROLMENT*

Have you completed this specific course before? (ie are you repeating this course as a refresher)*

YesNo

Email Address for Enrolment*

Physiotherapists email for Online Portal Link*

Postal Address: Number and Street (for delivery of Manual)*

Suburb, State & COUNTRY*

Postcode / ZIP code*

Phone Number (mobile)*

Are you a WHTA Member?

Yes (skip next question)No (go to next question)

FOR NON-MEMBERS: Would you like to apply for WHTA lifetime membership (AUD$90 ex GST) to receive the membership rate on your enrolment (AUD$620)?

YesNo, please charge the non-member rateNo, I'm already a member

Intellectual Property / Copyright*

I understand that there are to be no recordings (video or sound) made of any component of the course and that any materials provided to me are for my own professional use and not to be shared to any other person or organisation.

Payment Terms*

I accept there is an initial 20% NON-REFUNDABLE deposit required with final payment due no later than 4 weeks prior to course start date

Payment Type

Credit CardDirect Deposit (Australian accounts only)

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you for your enrolment application for the WHTA Advanced Pelvic Floor POP / SUI. Your application form has been received and will be cross-checked with the Pelvicon Pessary Workshop enrolment list . Once confirmed (usually within one week), you will be sent a confirmation of enrolment and invoice for payment. If confirmation is required urgently please email [email protected] with email subject "URGENT confirmation required for course booking"

Women's Health Training Associates Pty Ltd

Sydney, Australia. ABN: 53 600 232 219

e: [email protected]