Counselling at 253

Suite 2/Level 1
253 Lonsdale Street
Melbourne 3000

 

If you wish to use the use the facilities of Counselling at 253 you have to first register using this form.

Once we have received your registration form we will enter you as a registered user and you will be able to log-in to the room booking system.

Please choose a password of between 8 and 14 characters in length.


Business Name

ABN

First Name

Last Name

Street address
Suburb/City
State
Post code
Email Address

Phone number

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Choose a Username

Choose Your Password

I have read the guidelines document and agree to use the counselling at 253 rooms at 253 Lonsdale Street, Melbourne in the way described therein.



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