Ken Faulkner
Ken Faulkner 4 Day Savvy Weekend Bendigo - VIC Friday 6th to Monday 9th October 2017 For Enquiries: Post RegistraVon to: Fax RegistraVon to:
Agnes McCormack Ph: 5439 7397 Agnes McCormack, 125 O’Briens Lane Longlea VIC 3551 (07) 5423 0811
Course Registration Form Student Name Mailing Address Phone Number(s) Email Address Membership Number (if applicable) (10% discount for members of ANH & ATHRA)
Rider Full Payment – 4 Day Course: $440 Rider Deposit - $100 Auditors - $40/Day
All prices include GST. Deposits are are required to secure rider posiVon. No dogs or stallions are permiaed at ANH courses, unless prior arrangements are made with the host/instructor.
Email:
[email protected]
Website:
www.australiannaturalhorsemanship.com
Payment Op+ons (Please +ck) Direct Bank Deposit Account Name: Australian Horsemanship Pty Ltd BSB: 014710 Account Number: 451268188 Cheque Make cheques payable to: Australian Horsemanship Pty Ltd Post cheques and registraVon form to:- Agnes McCormack, 125 O’Briens Lane, Longlea VIC 3551 Credit Card
Visa
Mastercard
Date
Card Number Expiry Date Name on Card Signed
I understand that my payment is non-refundable (unless a replacement is found, or in the event the clinic is cancelled). Signed
Date
Agnes McCormack Ph: 5439 7397 Agnes McCormack, 125 O’Briens Lane Longlea VIC 3551 (07) 5423 0811
Course Registration Form Student Name Mailing Address Phone Number(s) Email Address Membership Number (if applicable) (10% discount for members of ANH & ATHRA)
Rider Full Payment – 4 Day Course: $440 Rider Deposit - $100 Auditors - $40/Day
All prices include GST. Deposits are are required to secure rider posiVon. No dogs or stallions are permiaed at ANH courses, unless prior arrangements are made with the host/instructor.
Email:
[email protected]
Website:
www.australiannaturalhorsemanship.com
Payment Op+ons (Please +ck) Direct Bank Deposit Account Name: Australian Horsemanship Pty Ltd BSB: 014710 Account Number: 451268188 Cheque Make cheques payable to: Australian Horsemanship Pty Ltd Post cheques and registraVon form to:- Agnes McCormack, 125 O’Briens Lane, Longlea VIC 3551 Credit Card
Visa
Mastercard
Date
Card Number Expiry Date Name on Card Signed
I understand that my payment is non-refundable (unless a replacement is found, or in the event the clinic is cancelled). Signed
Date
