Paris International Cooking School Booking Form

School Address: 216 Parramatta Road, Stanmore, Australia; Tel: (02) 9518 1066 or 9518 1077

Mailing Address: PICS, PO Box 72, Annandale NSW 2038 Australia or Fax to (02) 9518 1077

Your student ID N º: (Located on front of the envelope) Fill out a separate form for each student (feel free to copy this form)

Your title: Mr. / Ms / Mrs. / Miss / Other: Given Name: Surname:
Address:    
Postcode: Suburb: Occupation (optional):
Home Phone: Work Phone Home or Work Fax:

E Mail:

Where did you hear about the school? : Returning Student ( ) Yellow Pages ( ) Local Yellow Pages ( ) Big Colour Pages ( ) School’s Shop Window ( ) Newspapers ( ) From a Friend ( ) Library/Notice Board Pamphlet ( ) Other ( )

Course Code

N º & letter

Course’s Name

Starting Time

Starting Date

$ Fee

         
         
         
         

Late booking fee if less than 1 week before start of class/workshop $ 5.00 per class or workshop

  

Fax or phone booking fee ($ 2 per workshop or $ 4 per class or $6 per wine class)

 

Total Enrolment Fee Payable for your class(es) or workshop(s): $

  

Method of Payment: ( ) Cheque ( ) Postal Order ( ) By Cash (only if enrolling at the school) ( ) Amex ( ) Visa ( ) Master Card ( ) Bankcard

( ) Diners Card

Print Cardholder’s Name: Cardholder’s Signature:

 

Confirmation of enrolment, course information and receipt will be posted within 1 week

Year 2003 Program: Term 1 from January; Term 2 from April; Term 3 from July; Term 4 from October

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