Enrolment form
See more information about the courses on http://waimarieham.wainet.org/courses
I am enrolling for :
First Name
Your answer
Surname
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Email address
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Address
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(Mobile) Phone number
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(Landline) phone number
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Age Group
How did you hear about Waimarie?
Do you give us the permission to use your photograph for marketing purposes?
Would you like to receive our Newsletter?
Please ask your questions below
Your answer
Payment information
Payment must be made prior to day 1 of workshop.

Option 1: Bring with the payment at Waimarie (no EFTPOS machine).
Option 2: You can alternatively pay by direct banking as below. If you do so, to help us identify your payment – please state on your payment : surname + the name of the course.

Account Name: SEKCA
Bank account n: 031355 0637160 00
Bank: SBS Hamilton branch

A place on a course/workshop is not guaranteed until it is paid for.

Thank you for completing this form. This information helps all of us to keep up to date with courses and information.
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