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REGISTRATION FORM
Permaculture Design Course, March 1-14 2009
Please PRINT and fill in the form below and send to
SEED International at Crystal Waters College with your deposit or full payment.

CONTACT DETAILS

NAME:  AGE (optional)     FEMALE MALE
POSTAL ADDRESS:
  STATE: P/CODE: COUNTRY:
PH: MOBILE: FAX:
EMAIL: OCCUPATION:

MEALS
Please tick those that apply:
 only vegetarian meals please
 only vegan meals please
 I eat meat (please specify)
 chicken fish beef
 I require dairy-free meals
 I require gluten-free meals

FOOD ALLERGIES:

ACCOMMODATION OPTIONS AT CRYSTAL WATERS
Please tick your preferred option - prices are for entire duration of course.

Camping $110 (bring your own tent)
 Bunkhouse Cabin $210 (max 6 people/room) - BYO bedding
 Bunkhouse Cabin $220 - includes linen set
 Other: please send me information - cabin, guesthouse, homestay, B&B from $30/night

OTHER INFORMATION
Yes, I will be catching the train and will need a lift from the train station
 Yes, I am interested in car pooling with others from my area: I can offer a ride / I would like a ride

We would appreciate knowing how you found out about this course (please tick more than one if appropriate).
 Internet, Friend/family Magazine (please state which magazine)
Through a talk/seminar given by Morag or Evan (where?) Brochure (where did you find the brochure)
Poster (where did you find the poster) Other, please describe:

Additional Comments or questions:

PAYMENT DETAILS
COURSE FEE: AU$1495 ($1395 if full payment received 3 months prior)

OPTION 1: I enclose a deposit of $300/full payment of $ by Cheque/Money Order (payable to SEED International in Australian Dollars)

OPTION 2: I have deposited AU$300/full payment of $ directly into the SEED International bank account

DIRECT TRANSFER DETAILS
(from Australian Bank)

bank name: Maleny Credit Union
bank address: 28 Maple St, Maleny QLD 4552
branch number: 704-606
account number: 078315014
account name: SEED International

Paypal option coming here soon....

FOR MORE INFORMATION, PLEASE CONTACT:
SEED International ABN: 39 784 199 529
Sustainability Education and Ecological Design
50 Crystal Waters, Kilcoy Lane, Conondale, QLD 4552 Australia
phone/fax: +61 7 5494 4833 info@SEEDinternational.com.au
Directors: Morag Gamble and Evan Raymond