CASTLES AND CASCADES by GARY BAKER
-For Stonework with Style-
ABN: 251 032 573 01

STONEMASONRY COURSE APPLICATION FORM
Print this page and send the completed form, along with the deposit, to the address below.

Participant Information

Name of Participant: ________________________________________________
Company: ________________________________________________
Phone: _____________________________
Fax: _____________________________
E-mail: ________________________________________________
Street Address: ________________________________________________
City: ___________________________
State: __________
Post Code: _____________________
Preferred Course Date: ____/____/2001

 

I, _________________________ would like to participate in the Introductory Stonemasonry Course to be held at 268 Lesmurdie Rd, Lesmurdie.

I understand that in accordance with course requirements, I am required to provide and wear the following safety equipment: heavy boots, gloves, safety glasses.

I hereby submit $50.00 deposit, and shall pay $200.00 on the day of commencement.

Signature ______________________________________

Please send the completed application form (with deposit) to;
Castles and Cascades
268 Lesmurdie Rd,
Lesmurdie 6076 WA

(Please do not post cash)

_____________________________________________________________________________________________________________________

For office use only:
Participant Number: _______________________
Course Date:___/___/2001
Deposit details:
___ Cheque: Amt:___________ No:____________ Name:_____________ Date:__/__/01 Bank:___________ Branch:__________
___ Money Order Amt:__________ Date:__/__/01
___ Other _________________________________
Receipt No:______________ Processed: yes/no _____________________________________________________________________________________________________________________