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Contact Details
Name:

Address:

Phone Number:
Inc. area code
Date of birth:

Occupation:

Email:

Course Information

I would like to attend:

Bodhran Drum Workshop with Kevin Kelly full price $600 :  

Full payment to be made a week prior to course:

Deposit

I will be securing a place in my course with a $150 deposit via:

Direct Bank Deposit:
B.Vaughan
BSB - 637000
Account No. - 715098202
Reference - (Bodhram, Student Name)

Money Order/Cheque:
Payable to B. Vaughan
PO Box 9163 Wyee, NSW, 2259
 

What is your dietary type ?  eg: omnivor, vegetarian, vegan, gluten free, fish+vegetarian, other ?

Where did you hear about this course?

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