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: