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Workshop Secure Payment and Registration Form

Cockatoo Island

Overnight Creative Photography Workshop

29/30th May May 2015

$700

Accommodation

Please Select:

Camping $100 (tick-box)
Mini-glamping $155 (tick-box)
Glamping $175 (tick-box)

Your personal details

First Name: (input)
Last name: (input)
Address: (input)
Suburb: (input)
Post code: (input)

Mobile no. : (input)
Email address: (input)

Please share you photography dreams, ambitions, what you would like to take from the course or anything else:

(input)

Your payment details

Payment can be made by PayPal (Visa, MasterCard or American Express) or Direct Deposit

Select Payment method:

PayPal (select)

Direct Deposit
Account number:

BSB: 062 014
Account number: 1058 3967
Account name: Mr. Joseph K. Sarkodie

Amount (can this be updated automatically to reflect the sum of the course fee and the accommodation cost)