Crucial Conversations for Mastering Dialogue Training Booking Form

Thank you for your interest in the Crucial Conversations for Mastering Dialogue course.

The training and resources will cost $1,100 including GST(discounted from $1,700). For Members of CIC, you will recieve a further discount as part of your benefits.

Please complete this booking form and we will contact you to confirm your spot and provide an invoice.

If you would like to arrange a seperate training delivered to your workplace outside of the planned training dates, please send us an email to manager@cictownsville.com.au and we will be in touch.

Participant Registration Details

Participant 1

First Name *

Last Name *

Mobile Number *

Email Address *

Employment position *

Please choose which training date you would like to attend. *

11th & 12th March 2025 (Tuesday & Wednesday)

21st & 22nd May 2025 (Wednesday & Thursday)

21st & 22nd August 2025 (Thursday & Friday)

11th & 12th November (Tuesday & Wednesday)

Do you have more than one participant to register? *

Participant 2

First Name

Last Name

Mobile Number

Email Address

Employment position

Please choose which training date you would like to attend. *

11th & 12th March 2025 (Tuesday & Wednesday)

21st & 22nd May 2025 (Wednesday & Thursday)

21st & 22nd August 2025 (Thursday & Friday)

11th & 12th November (Tuesday & Wednesday)

Participant 3

First Name

Last Name

Mobile Number

Email Address

Employment position

Please choose which training date you would like to attend. *

11th & 12th March 2025 (Tuesday & Wednesday)

21st & 22nd May 2025 (Wednesday & Thursday)

21st & 22nd August 2025 (Thursday & Friday)

11th & 12th November (Tuesday & Wednesday)

Billing Details

Organisation *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Postal Code *

Phone Number *

Email address for invoicing *

Options for payment *

Pay in full on invoice

I would like to discuss a payment plan

Are you a current member of the Community Information Centre? *