Register

Your Name (required)


Your Address (required)


Your Email (required)


Your Phone no. (Day):

AH Phone:

Your Mobile:

MaleFemale

Age:

Date of lesson/consultation

Location

I will be attending:

RiderAuditorDemonstration & Lecture/Group WorkshopShared Group LessonsSaddle FitPrivate Lesson

I will be participating:

with my horsewithout my horse


Cancellation Policy:

No refunds are possible for cancellations unless a substitute participant is found. However under special circumstances and at the discretion of the instructor payment may be credited to another course.



I will be paying

Full Amount50% Deposit

I will pay by the following PAYMENT METHOD

PAYPAL - please submit this form and I will send you a PayPal invoice. A 2.6% surcharge applies.




DIRECT DEPOSIT. Please submit this form to secure your place. Make payment to: Acc Name: Synquest Pty Ltd Sales • BSB: 082842 • Acc No. 189 434 768. (Please put your name in the details to identify your payment)




CHEQUE: Please submit this form to secure your place. Make cheque payable to Synquest Pty Ltd and post to: Mel Fleming Course Registrations PO Box 131 Moonbi NSW 2353




CREDIT CARD (MC/Visa) a 2% surcharge applies: Please print off the registration form, fill out your credit card details and post to: Mel Fleming Course Registrations PO Box 131 Moonbi NSW 2353 or you can submit this form and call with your credit card details 0428 385 745. For your security please do not fill in your credit card details on the form you are submitting via the internet, only on the form you are sending in the post.

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