Ken Faulkner
Ken Faulkner 2 Day Cowboy Dressage Clinic Peppercorn Park, Longlea, Vic
Saturday 18th & Sunday 19th November 2017 For Enquiries: Post Registration to:
Email Registration to:
Jennifer Hawkins Ph: 0427 302 598 Jennifer Hawkins, ‘Silverwood’, 232 Farmers Road Everton Uppers VIC 3678 [email protected]
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 – 2 Day Course: $440 Rider Deposit - $100 Spectators - $40/Day
All prices include GST. Deposits are are required to secure rider position. No dogs or stallions are permitted at ANH courses, unless prior arrangements are made with the host/instructor.
Payment Options (Please tick) 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 registration form to:- Jennifer Hawkins, ‘Silverwood’ 232 Farmers Road, Everton Uppers, VIC 3678 Credit Card
Visa
Mastercard
Card Number Expiry Date
Email: [email protected]
Website: www.australiannaturalhorsemanship.com
Name on Card Signed
Date
I understand that my payment is non-refundable (unless a replacement is found, or in the event the clinic is cancelled). Signed
Date
Saturday 18th & Sunday 19th November 2017 For Enquiries: Post Registration to:
Email Registration to:
Jennifer Hawkins Ph: 0427 302 598 Jennifer Hawkins, ‘Silverwood’, 232 Farmers Road Everton Uppers VIC 3678 [email protected]
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 – 2 Day Course: $440 Rider Deposit - $100 Spectators - $40/Day
All prices include GST. Deposits are are required to secure rider position. No dogs or stallions are permitted at ANH courses, unless prior arrangements are made with the host/instructor.
Payment Options (Please tick) 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 registration form to:- Jennifer Hawkins, ‘Silverwood’ 232 Farmers Road, Everton Uppers, VIC 3678 Credit Card
Visa
Mastercard
Card Number Expiry Date
Email: [email protected]
Website: www.australiannaturalhorsemanship.com
Name on Card Signed
Date
I understand that my payment is non-refundable (unless a replacement is found, or in the event the clinic is cancelled). Signed
Date
