greenexploration 2013 April

You are booking into

Creative State's Exploration Acting Workshop (excludes Anzac Day, Thursday 25th April)
Monday 22 April to Saturday 27 April 2012
10am-5pm daily
Balmain Town Hall, 370 Darling St Balmain NSW 2041

Your Payment Options:

1 You can pay immediately online using either your paypal account or your credit card.

$400.00 (incl GST).

To proceed through Pay Pal you acknowledge that:

- you are 16 or 17 years of age and have parental/guardian consent to attend the workshop or are at least 18 years of age
- you accept the workshop enrolment and cancellation conditions.

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2 Creative State can send you an invoice that will allow you to pay by

internet transfer
cheque

To receive an invoice to pay by cheque or internet transfer, please complete the following.
Workshop enrolment and cancellation conditions.

name

First Name

Last Name

address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

mobile

home phone

payment option

This is the method of payment you will use once Creative State has invoiced you via email.

age & consent

I am 16/17 years of age and have my parent/guardian's consent

I am 18 years of age or older

date of birth

acceptance of enrolment and cancellation conditions

I accept