Registration Form – Wooden Surfboard Making Class
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| Today’s date: | Board required | |||||||||||||||
PARTICIPANT INFORMATION |
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| Your Last Name: | First: | Middle: | q Mr.q Mrs. | q Missq Ms. | ||||||||||||
| Street address: | Mobile Phone no.: | Home Phone no.: | ||||||||||||||
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| Suburb: | State: | Postcode: | Email Address: | |||||||||||||
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IN CASE OF EMERGENCY |
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| Name of friend or relative : | Relationship to participant: | Home phone no.: | Mobile phone no.: | |||||||||||||
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COURSE INFORMATION |
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| (Please nominate your Preferred Class – Stuart Bywater Design will do our very best to accommodate your request.) | ||||||||||||||||
| Insert board | price | |||||||||||||||
| Woodensurf boardMaking(7nights) | Start Date:Tuesday | Class Time:6.00pm to 9.00pm | Venue:182 Crockford Street Northgate QLD | Course Fee:(incl GST) Payable Upfront | Board price$ | |||||||||||
| Woodensurf boardMakingSat, Sunday | TBA/ please advise expression of interest | Class Time:9.00 am to 5.00pm sat9.00pm to 5.00pm sun | Venue:182 Crockford Street Northgate QLD | Course Fee:(incl GST) Payable Upfront | Board price$ | |||||||||||
| I , _______________________________________ have read through the information regarding these Stuart Bywater Design Woodwork classes (Insert your name)and wish to register to participate in the nominated class above. I understand that by registering and signing this form that I agree that I mustpay the Full Course Fee before my registration will be confirmed.__________________________________________ (Please Sign & Date)
ONCE COMPLETE PLEASE e mail or MAIL to Stuart Bywater Design, C/182 Crockford Street, Northgate QLD 4013 Payment of Fees required prior to commencement (Remittance of Payment) Thank You for Your Registration! |
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