Pegasus Workshop Registration
Event Date: October 18th and 19th, 2019

Contact details: stephanie.williams@pegasusact.com.au or 02 6254 9190
Name *
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Email *
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Phone Number *
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Address *
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What days will you attend? *
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Payment Details
Please pay via Direct Debit

Pegasus Riding for the Disabled
BSB: 032712
ACC: 112218
Description: WORKSHOP (your name)

Or call our office to pay with credit card.
Dietary restrictions *
I understand that my place at the workshop will not be confirmed until payment has been made *
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