For all registrations in all countries, please print this page, complete, (make sure it is signed and dated) scan and email to phtoth@anazao.com.au

Circle the options below

School Location:   Beckenham, Christchurch, NZ

Weeks Attending: Third Module Only /Both Modules [NOTE: you cannot attend Module 3 without attending Modules 1 & 2],

Full name(s): ……………………………………………………………………………………………………………………………..

Postal address: …………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………

Phone: (preferably mobile with country code) ……………………………………………………………..

e mail: ……………………………………………………………………………………………………………………………….

Total Registration Fee (the total fee for the school): $ ……………, £……………, [see fee summary at the end of this form]

NOTE: 50% deposit is required to secure registration. Balance payable on arrival. Total amount can be paid now. Refunds of deposit given in extenuating circumstances.

Amount paid: $ ……………….

Balance remaining: $ ……………….

Circle payment method [ NOTE: 2% surcharge  Paypal & Credit Card]                                                        

Cheque  /  Paypal  /  Bank Transfer  / Credit Card

Personal Cheque: Payable to ‘Anazao’

Paypal: Payable to phtoth@anazao.com.au

Direct Bank Transfer: Contact Peter and Heather via e mail for bank details.

Credit Card:   Visa  /  Amex  /  Mastercard       

Number…………………………………………………………………………………………………….Exp……………..

  Signed: ………………………………………………………………Date: ………………………………..

NOTE: Anazao reverses the right to refuse any application.  In such instances, a full refund (minus credit card fees) will be given

NOTE: For  NZ, one fee for all.  No separate deductions for couples, students or seniors