Ken Faulkner

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Ken Faulkner 7 Day Super Camp

Esk, QLD

Monday 16th to Sunday 22nd October 2017 Bookings & Enquiries: Post RegistraWon to: Fax to:

Kathy Stewart 0427 732 394 Australian Horsemanship Pty Ltd PO Box 99, Esk QLD 4312 (07) 5423 0811

Course Registration Form Student Name: Mailing Address: Phone Number: Email Address: Membership Number (if applicable):

Please make cheques payable to:- Australian Horsemanship Pty Ltd Bank Deposit Details:- Australian Horsemanship P/L BSB# 014710 A/c# 451268188

(10% discount for members of ANH)

Rider Full Payment – 7 Day Super Camp: $1350.00 Rider Deposit - $400 Payment Enclosed:









All prices include GST. Deposits are required to secure rider posiWon. No dogs or stallions are permiXed at ANH courses, unless prior arrangements are made with the host/instructor.

We accept payment by Visa Card and Mastercard





Email:

[email protected]



Website:

www.australiannaturalhorsemanship.com

Card Number:







Expiry Date:







Date:

Name on Card: Signed:



I understand that my payment is non-refundable (unless a replacement is found, or in the event the clinic in cancelled). Signed:









Date: