Name: Sunshine: Drink drive behaviour change program part 2
Start: 2020-01-29T18:00:00+11:00
End: 2020-01-29T21:00:00+11:00
Location: Sunshine, Sunshine Uniting Care

Sunshine: Drink drive behaviour change program part 2

January 29 @ 6:00 pm9:00 pm

You must complete part 1 and part 2 of the program

Please Click Here to Register Now

Please Note: Payment only necessary for Part One (Cost covers both parts of the program)
Your Surname*
Given Names*
Email*
Contact Phone*
Date of Birth*

DD
MM
YYYY
Drivers Licence Number
Your Address
Street Address City State / Province / Region ZIP / Postal Code
Date of the Offence
Date Format: DD slash MM slash YYYY
What was your BAC reading?*
Please provide a description of any other charges made:*
Number of related offences in the last 10 years*
Date of prior offence (if applicable)?:
Date Format: DD slash MM slash YYYY
Is there anything else we should know about?
Payment Options
- $300 + $67 Vic Roads Fee (Without a Health Care card)
- $300 + $34 Vic Roads Fee (With a Health Care card)
For credit card payments please contact us
on 9654 3321.

Please note, the $67 and $34 fees are VicRoads fees and not ours and are required to be paid prior to commencement of the program.
Health Care Card Number
Health Care Card Expiry
Date Format: DD slash MM slash YYYY
Non-refundable $100 deposit required.
Please contact us to organise a $100 deposit. Deposit must be paid minimum 5 days prior to commencing the program. If deposit is not paid, you are not booked in.
For advance payments, your payment must be made minimum 2 days prior to the program date.
Phone
This field is for validation purposes and should be left unchanged.

Details

Date:: January 29
Time:: 6:00 pm9:00 pm
Event Categories:: drink drive programs/assessments, Sunshine Uniting Care
Website:: drinkdriveassist.com.au

Organiser

: Awareness Driver Education
Phone:: 03 9654 3321
Email:: awarenes@hotkey.net.au
Website:: drinkdriveassisst.com.au

Venue

Sunshine, Sunshine Uniting Care; 32 Withers St
Sunshine, VIC 3020 Australia + Google Map
Phone:: 9654 3321

View all Melbourne Metro Events | View All Regional Events

Sunshine: Drink drive behaviour change program part 2

January 29 @ 6:00 pm9:00 pm

Please Note: Payment only necessary for Part One (Cost covers both parts of the program)

For credit card payments please contact us
on 9654 3321.

Non-refundable $100 deposit required.

Details

Organiser

Venue

Details

Organiser

Venue

Event Navigation

Sunshine: Drink drive behaviour change program part 2

View all Melbourne Metro Events | View All Regional Events

Sunshine: Drink drive behaviour change program part 2

January 29 @ 6:00 pm9:00 pm

Please Note: Payment only necessary for Part One (Cost covers both parts of the program)

For credit card payments please contact uson 9654 3321.

Non-refundable $100 deposit required.

Details

Organiser

Venue

Details

Organiser

Venue

Event Navigation

For credit card payments please contact us
on 9654 3321.