COURSE REGISTRATION (Printable form)
Are you a financial member of
Seniornet Otago for the current year ending March 31st 2005? Yes/No
Cross out the one which does not
apply.
Enrol me in the courses marked
below.
Name
..
Address
..
Telephone
..
Email
.
Todays Date
.
Course fee of $
. Is enclosed
(enclose a stamped addressed envelope if a receipt is required)
Put a tick in the box before
the course for which you wish to enrol.
Tick Courses Sessions Cost Tutors
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Send to this address: SeniorNet Otago Inc
Course Coordinator
P.O.Box 13051
Green Island
Dunedin