Enrollment Form
• Email: [email protected] Name:
• Post: Kustom Kollege, P.O. Box 825, Bayswater 3153
• Fax: 03 9723 0021
Address:
Mobile:
Home:
Work:
Note 2: It is important that you supply an email address. Please ensure you use the correct Upper and Lower case letters that are used in the email address properly. You will receive quarterly emails with each Airvolution issue release.
Note 1: We will confirm your enrolment within 7 days of receipt by: 1. Text, 2. Email, 3. Phone, 4. Post We have regular difficulties trying to confirm enrolments. If you have NOT heard from us within 7 days please contact us.
Email: If previously trained, list the courses: All Kustom Kollege courses involve the use of thinners based products. While every effort is made to provide a safe and healthy classroom, do not enrol if you have any issues with using these products. Tick the box that you are happy to work with thinners based products in our classrooms Is there anything we should know that will help us to help you, eg., deafness, colour blindness, medical conditions? •
Course Name
•
Venue Location:
Program Date:
NO ENROLMENT WILL BE ACCEPTED WITHOUT A MINIMUM DEPOSIT OF 25% • Payment amount & type
$
(You can pay more than the min. 25% if you wish)
• Money Order
No cash!! Postal money orders or bank cheques ONLY.
• Credit Card
Card Name
Signed
Card Type: Bankcard
Visa
Mastercard
• Cheque
Expiry Date
/
Name of Account Holder
HOME address of Acc. Holder;
Home Ph.
• Direct Debit
CVV No.
Airbrush Venturi VIC
Suburb • BSB: 633-000
Please make sure you include the deposit receipt with the enrolment form
Yes, I‘ve read and understand the conditions of my enrolment, signed
• Acc. No. 149 594 301
• Post: Kustom Kollege, P.O. Box 825, Bayswater 3153
• Fax: 03 9723 0021
Address:
Mobile:
Home:
Work:
Note 2: It is important that you supply an email address. Please ensure you use the correct Upper and Lower case letters that are used in the email address properly. You will receive quarterly emails with each Airvolution issue release.
Note 1: We will confirm your enrolment within 7 days of receipt by: 1. Text, 2. Email, 3. Phone, 4. Post We have regular difficulties trying to confirm enrolments. If you have NOT heard from us within 7 days please contact us.
Email: If previously trained, list the courses: All Kustom Kollege courses involve the use of thinners based products. While every effort is made to provide a safe and healthy classroom, do not enrol if you have any issues with using these products. Tick the box that you are happy to work with thinners based products in our classrooms Is there anything we should know that will help us to help you, eg., deafness, colour blindness, medical conditions? •
Course Name
•
Venue Location:
Program Date:
NO ENROLMENT WILL BE ACCEPTED WITHOUT A MINIMUM DEPOSIT OF 25% • Payment amount & type
$
(You can pay more than the min. 25% if you wish)
• Money Order
No cash!! Postal money orders or bank cheques ONLY.
• Credit Card
Card Name
Signed
Card Type: Bankcard
Visa
Mastercard
• Cheque
Expiry Date
/
Name of Account Holder
HOME address of Acc. Holder;
Home Ph.
• Direct Debit
CVV No.
Airbrush Venturi VIC
Suburb • BSB: 633-000
Please make sure you include the deposit receipt with the enrolment form
Yes, I‘ve read and understand the conditions of my enrolment, signed
• Acc. No. 149 594 301
