Please complete the form below to book a Positive Speaker. If you are booking several talks on the same day at the same venue, please place these details on the one form. If you are booking several talks on different dates, please enter your bookings one at a time.

(*) indicates a response is required

Have you used the PSB before?

Yes

No

How did you hear about the PSB?

Organisation name *

Type of Organisation

First Name

Last name

Position

Contact Phone

Mobile Phone

Fax Number

Email *

Booking Details

How many talks to you want to book?

Choose a date *

Choose a time

Talk duration

Number of speakers

Audience will be

Male

Female

Both Male and Female

Est. audience total

Is this booking part of PDHPE syllabus?

Yes

No

Is this talk(s) part of a school cross roads syllabus

Yes

No

Talk Content *

Venue Name *

Venue Address *

Venue suburb *

State *

Venue Postcode

Knowledge on HIV/AIDS issues

Audience attitudes

Preferred Speakers Name

Invoice Details

ABN *

Invoice Address *

Suburb *

State *

Postcode *

Email *

Booking organiser's contact details

First & Surname

Your Contact Phone Number

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Book a Speaker

Booking Details

Invoice Details

Booking organiser's contact details

Positive Life NSW is an ACNC registered Australian Charity