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REGISTRATION FORM
HANDS-ON PERMACULTURE WORKSHOP

COURSE DATE:
MY CONTACT DETAILS

NAME:
ADDRESS:
TOWN/SUBURB:
STATE AND POSTCODE:
COUNTRY:
PHONE:
FAX:
MOBILE:
EMAIL:
OCCUPATION:

MEALS
Please tick those that apply:

o I prefer vegetarian
o I prefer vegan
o I eat chicken
o I eat fish
o I eat beef
o I prefer dairy-free

FOOD ALLERGIES:

ACCOMMODATION OPTIONS AT CRYSTAL WATERS
Please tick your preferred option.
We will confirm availability and latest prices.

o Camping - included in fee
o Bunkhouse - included in fee

o B&B $30-40/night
o Guesthouse from $55/night

OTHER INFORMATION
I am interested in car pooling with others from my area

o I can offer a ride
o I would like a ride

How did you find out about this workshop?

o Internet
o Through a talk/seminar given by Morag or Evan (where?)
o Magazine (please state which magazine)
o Brochure (where did you find the brochure)
o Poster (where did you find the poster)
o Friend/family
o Other, please describe


Workshop Fee: AU$295

O I enclose payment of $ _____ by Cheque/Money Order (payable to SEED International in Australian Dollars)
or

O I have made a payment of $ ________ directly into the SEED International account (account details below)

DIRECT TRANSFER DETAILS
bank name: Maleny Credit Union
bank address: 28 Maple St, Maleny QLD 4552
branch number: 704606
account number: 078315014
account name: SEED International

PLEASE MAIL REGISTRATION FORM AND PAYMENT TO:
CRYSTAL WATERS COLLEGE
50 Crystal Waters
Kilcoy Lane
Conondale
QLD 4552 AUSTRALIA

PH:07 5494 4833

OR EMAIL INQUIRIES / REGISTRATION DETAILS TO:
info@crystalwaterscollege.org.au