Community education booking form | RAC WA » About us » Community » Community education » Community education booking form

Community education booking form

Please complete the form to book an RAC Community Education presentation.

If you have any queries, call 08 9436 4471 or email communityeducation@rac.com.au.

*Required fields.
Your details
*Title:
*First name:
*Surname:
*Organisation:
*Suburb:
*Preferred contact method:
*Phone number:
*Email:
Year of students (if applicable):
Number of participants:
Presentation details
*Presentation:
Preferred date (dd/mm/yyyy):
Preferred time:
Alternate date (dd/mm/yyyy):
Alternate time:
*Presentation:
Preferred date (dd/mm/yyyy):
Preferred time:
Alternate date (dd/mm/yyyy):
Alternate time:
Additional requirements
Please enter additional booking requests in the comments box below. Please state the required presentation, preferred and alternate dates and any other comments.
Do you have any of the following equipment that our presenter can use?
Yes, I would like to be kept informed about RAC products and special offers via RAC's eNewsletters.
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