MALA M

MALA
MATURE ADULTS LEARNING ASSOCIATION INC. ENROLMENT FORM
Wednesday: 22nd October - 19th November 2014
Murdoch University, Dixon Road, Rockingham
Nam e ………………………..………………………………………………………….……………
Address ………...…………………………………………………………………...….….…….…
Suburb ……………………….………………..………….…… Postcode ………………....……
Telephone …...……………………………………………...………………………………….…..
eMail ………....……………………………………………...………………………………….…..
Member
NonMember
Session
Time
Cryptic Crosswords For Beginners
Monty Edwards
$35
$45
9.30am 11.00am
iPad Made Easy
Sheena Edwards
$35
$45
9.30am 11.00am
Let’s Get Drawing
Peter Fitzsimmons
$35
$45
11.30am 1.00pm
Chess: How To Get On Board
Monty Edwards
$35
$45
1.30pm 3.00pm
Topic / Presenter
Tick box(es) for Course(s) of choice Total Fee Please note:
1. MALA Rockingham reserves the right to cancel a course if insufficient enrolments received.
Under this circumstance all fees paid will be refunded in full.
2. Fees will not be refunded if student changes her/his mind or does not attend class(es).
Queries / contact:
Esther - 9528 7133
Post form to 26 Safety Bay Road, Rockingham, Western Australia 6168 or Scan and email to malarockingham@gmail.com.au Payment Post cheque made payable to MALA Rockingham to above address or pay on first day of Course Receipt
No.
Date
Treasurer