Ken Faulkner
Ken Faulkner 2 Day Cowboy Dressage Clinic
Sarina Showgrounds, QLD
Saturday 12th & Sunday 13th August 2017 For Enquiries: Post RegistraVon to: Email RegistraVon to:
Rose Perna Ph: 0488 941 007 Rose Perna, 603 East Funnel Creek Rd, Sarina QLD 4737 [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 posiVon. No dogs or stallions are permi`ed 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:- Rose Perna, 603 East Funnel Creek Road, Sarina QLD 4737 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
Sarina Showgrounds, QLD
Saturday 12th & Sunday 13th August 2017 For Enquiries: Post RegistraVon to: Email RegistraVon to:
Rose Perna Ph: 0488 941 007 Rose Perna, 603 East Funnel Creek Rd, Sarina QLD 4737 [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 posiVon. No dogs or stallions are permi`ed 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:- Rose Perna, 603 East Funnel Creek Road, Sarina QLD 4737 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
