Course enrolment

Enrolment Application Form

U3A Okeover Term 3, 2022 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 18 Aug 2022 to 15 Sep 2022

A: Money Matters

Followed by...

B: Thursdays 22 Sep 2022 to 20 Oct 2022

B: A Heterogenous Mixture

Payment

Total Due
__________

Payment Method

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:


Post Code:


Phone:

Emergency Contact:

Emergency Phone:

Signature: