Workshop Booking Form – South East Art Society

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Please refer to the workshop listing in the events calendar for the topic and presenter information.

Workshop I Name

Workshop Topic

Workshop Presenter

I am a:

PAYMENT to be made by EFT or direct deposit.

Bank details: South East Art Society Inc
BSB: 633-000
Account No: 131 958 522

Please use your surname and presenters initials as the reference (ie Smith DS, Jones MC).