Ken Faulkner 14 Day Super Camp
Esk, QLD
Saturday 5th to Friday 18th May 2018 Bookings & Enquiries: Kathy Stewart 0427 732 394 Post RegistraYon to: Australian Horsemanship Pty Ltd PO Box 99, Esk QLD 4312 Email to:
[email protected] 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 Pty Ltd BSB# 014710 A/c# 451268188
(10% discount for members of ANH)
Rider Full Payment – 14 Day Super Camp: $2650.00 Rider Deposit - $400 Member Price: $2385.00 Payment Enclosed:
All prices include GST. Deposits are required to secure rider posiYon. No dogs or stallions are permiZed 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: