Course enrolment

Enrolment Application Form

U3A Okeover Term 1, 2024 Courses


Please hand your enrolment form to the treasurer at the desk.

Your Name(s):

You can use this form to enrol one or two members.

Enter member name(s):
Member 1
Member 2

 

Select Your Courses...

The cost is $20.00 per course.

A: Thursdays 29 Feb 2024 to 28 Mar 2024

A: Out of Africa and DNA: Human migration and global connections

Followed by...

B: Thursdays 4 Apr 2024 to 9 May 2024

B: Miscellany

Payment

Total Due
__________

Payment Method

x
Via Internet or Phone banking into account No 03-1594-0108506-00 (Please ensure you enter a surname and initial)

Questions/Comments:


Your Contact Details

Please provide your contact details, so that we can contact you in relation to this enrolment application:

Name:

Email:

Complete these details only if they have changed:

Address:


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Emergency Contact:

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Signature: