Workshops Registration Form

Please complete this form in its entirety and print two copies,
(in your browser window select "File", then select the print option)
- one for your records and one to be mailed to:

Laurie Anne King
3 Banksia Street,
Tieri, Queensland
4709
Australia.

Name:

Address:

City:

Province:

Postal Code:

Home Phone (including area code):

Business Phone (including area code):

E-mail and/or Web Address:

Course/Event and Date:

Total monies enclosed: $

Balance owing: $

Deposits are non-refundable, but are transferable to other workshops/events within 12 months of the original worshop/event date. Personal cheques drawn on a Canadian Bank, payable iu Canadian funds, Canadian dollar money orders or cash are acceptable means of payment. Please make cheques payable to Laurie Anne King.

A minimum payment of $50.00, received 30 days prior to the start of the workshop/event guarantees your enrollment.