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:

    Your payment is NOT refundable unless a substitute rider/participant can take your place. Under special circumstances and at the discretion of the course instructor, payment may be credited to another course. If the event cannot be run or you cannot attend the event due to COVID 19 restrictions or rulings your deposit will be credited to a future event or can be used for another form of learning (i.e. video coaching or on line learning).



    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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