Please register me for the following workshops
$6 a workshop or 4 for $20
- see below for direct deposit details or pay on the day but please register as soon as possible by phone fax or email.
Should any course be canceled if there is not enough interest you can nominate another option please put this one in brackets
or circle I prefer a refund
(Choose one of A B for each session and write the course name beside it)
| SESSION |
|---|
| *SAT 1 |
| *SAT 2 |
| *SAT 3 |
| *SAT 4 |
| *SAT 5 |
| |
| *SUN 1 |
| *SUN 2 |
| *SUN 3 |
| *SUN 4 |
| *SUN 5 |
- Number of workshops:
- Total Cost:
- Name:
- Address:
- Contact Number:
Office Use:
Paid on:
Receipt Number:
Pay by direct banking If you would like to make a deposit directly to our bank account and email your form in our bank details follow - please make sure you include your name in the deposit details:
South Coast Environment Society
060 954 0032740 01
