Please Attach
Your Cheque Here
| Please repeat your name below | |
|
Name: ......................................................................................................................................... Title Preferred First Name Surname |
|
| Fees Calculation: | |
| Course Fee (from Table) | $ |
| Workshop Fees | $ |
| Membership Fee (Strike out if paid) | $_____________ |
| Total | $_____________ |
| Please make cheque out to SeniorNet Porirua, Inc. | |
| then attach it to this form. | |
| Post forms and cheque to | SeniorNet Porirua, Inc., |
| P. O. Box 50 - 034, | |
| Porirua 5024 | |
| All students will receive letters of acceptance confirming details and with a map indicating classroom location and parking. | |
| NB: Parking within the Ngati Toa School grounds is not permitted. | |
| If you require further information help please do not hesitate to phone | |
|
Laurie Davies 234 - 7517 |
|