Energise Registration Form

Please use this form to register for all of the Energise workshops you would like to attend. We will contact you prior to each workshop to confirm your attendance and to let you know any other important details.

* Organisation Name:

* Postal Address:

* Your Name:

* Position:

* Phone:

* Email:

* For which workshops would you like to register?

(Please tick all workshops you will be attending)

* How did you find out about the Energise program?

* Please enter the word in the image (not case sensitive):
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If you would like to know more about the Energise Program, please contact Logan City Council on:

Phone: 3412 5352
Email: candicethompson@logan.qld.gov.au

* Indicates Response Required