Cydonia Permaculture

 Permaculture Design Course

July 2010

REGISTRATION FORM

 Name:

 
Phone(s):

 
Email:

 
Address:

Consession? Yes / No  If Yes, which type?

Food preferences: Vegetarian? Vegan? Moral omnivore? Whatever's going? Meat lover? Allergies?

I have enclosed:
                [    ]    minimum 10% deposit

Or            [    ]    full fee ($2000 / $1500 concession)

  How did you hear about this course? If you found it browsing on the internet can you remember what site you came through or what you were browsing?

Please make out cheques / money orders to Cydonia Permaculture and post to:

P.O. Box 285, Heathcote, Victoria, 3523

Or email us this form and ask about direct debit facilities.