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2019 ASOC Online Workshop Registration Form
 

Use this form for online registration for ASOC workshops

Name:*
Address:*
Home Phone:
-
Mobile
E-mail:*
I am a member of:
I have read and agree to abide by the cancellation policy*
I would like to register for the following workshop(s):*

Payment Details

I am paying by:*

EFT

When transferring workshop deposits to ASOC please put you surname , together with Wksp and tutor surname in the Description/Customer Reference field

ASOC EFT Details:

Artists Society of Canberra Incorporated

BSB 633 000

ACCOUNT NUMBER 163574684

Date of EFT Payment:
Upload Copy of EFT Receipt:

Credit Card

Pls indicate below what type of card you are using.

Type of Card:
Credit Card Number
Name on Card:
Expiry Date: mm/yy

Cheque Payment

- payable to ASOC

Bank Cheque Drawn From:
Date of Cheque:
Total: amount