Quit Booking Form

Contact Details

Session Details

Workplace/School Profile

Does your workplace/school have a smokefree policy?
Has your workplace/school had any Quit Smoking Courses provided by Cancer Council ACT in the past?

Session Equipment

Tick the equipment your workplace/school will provide
I agree to Cancer Council ACT acknowledging my workplace/school in its Annual Report
Cancellation Policy
Confirmation

Your Privacy

Cancer Council ACT strictly complies with the Privacy Act and the Australian Privacy Principles. The Primary purpose of collecting your information is to communicate with you about donations, products, services, campaigns, causes and events. Our Privacy Policy contains information about how to access or ask to correct personal information held about you by Cancer Council ACT. For more information please visit the Privacy Policy page on this website or contact us on 02 6257 9999.

Cancer Council ACT strictly complies with the Privacy Act and the Australian Privacy Principles. The Primary purpose of collecting your information is to communicate with you about donations, products, services, campaigns, causes and events. Our Privacy Policy contains information about how to access or ask to correct personal information held about you by Cancer Council ACT. For more information please visit the Privacy Policy page on this website or contact us on 02 6257 9999.

Share this page

Contact Us

Cancer Council ACT

Phone

Fax

(02) 6257 5055

Email

Address

Unit 1 (The Annex)
173 Strickland Crescent
Deakin ACT 2600