Registration Form

Wilderness First Aid Certificate

Monday 6 to Thursday 9 December 2010
 

$650.00 per person

Please print then email, mail or fax to the address above.

$650.00 per person

PAYMENT OPTIONS:                                                            

□   $300.00 DEPOSIT on registration, with balance paid on arrival

□   Pay in full $650.00 per person

PAYMENT METHODS:

□ By cheque made out to ‘Laurel Hill Forest Lodge’ Mail to 1670 Batlow Road Tumbarumba 2653

□ By direct deposit Westpac Bank Details: Laurel Hill Forest Lodge BSB 032 766 Account No.112395

Maximum participants, course will be postponed if numbers are not achieved.

Signature                                                                              Date