Community education booking form | RAC WA » About us » Community » Community education » Community education booking form
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Community education booking form
RAC
About
Community
Community education
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:
Please select
Mr
Mrs
Ms
Miss
Dr
*First name:
*Surname:
*Organisation:
*Suburb:
*Preferred contact method:
Email
Phone
*Phone number:
*Email:
Year of students (if applicable):
Number of participants:
Presentation details
*Presentation:
Please select
Year 10, 11 & 12 Decade of Action: Road Safety
YEAR 10 back seat driver
Year 11 & 12 My Decisions, My Destination
YEAR 11 & 12 buying a car
YEAR 11 & 12 Drink, Drugs and Driving
YEAR 10, 11 & 12 keys for life: parent workshop
Display / expo
SENIORS: RAC then and now
SENIORS: road safety
SENIORS: your driving future
Preferred date (dd/mm/yyyy):
Preferred time:
Alternate date (dd/mm/yyyy):
Alternate time:
*Presentation:
Please select
Year 10, 11 & 12 Decade of Action: Road Safety
YEAR 10 back seat driver
Year 11 & 12 My Decisions, My Destination
YEAR 11 & 12 buying a car
YEAR 11 & 12 Drink, Drugs and Driving
YEAR 10, 11 & 12 keys for life: parent workshop
Display / expo
SENIORS: RAC then and now
SENIORS: road safety
SENIORS: your driving future
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?
Whiteboard
Screen
Table
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