FORMULA FORD COURSE - ENROLMENT FORM OR GIFT CERTIFICATE

Your booking may be secured by posting/faxing this enrolment form and payment for the full amount of $750.00 including GST.

Refunds are not available but you may alter your booking for a specific course within two weeks notice. Of course you will be required to sign a waiver and vehicle indemnity agreement on the day.

Full payment must accompany application forms and you may pay by cash, cheque or any of the credit cards listed below.

Your booking may be secured by sending/faxing this enrolment form and payment to us as listed below. On receipt we will confirm your booking with course joining instructions, or in the case of a Gift Certificate, a Gift Certificate. Please enrol the following person in the Formula Ford Course:

Name: ...................................................................................... Date of Course: ..............................

Address: .........................................................................................................................................

Post Code ....................... Phone: (.......).................................. Mobile ........................... Email .......................................
TAX INVOICE (ABN 99 293 740 948)

I enclose cheque/money order for $...........................
I authorise you to debit my account with the following amount $......................

YOUR NAME ON CARD ...........................................................

Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ EXPIRY DATE ....../......./.......

AMOUNT ...................... CARDHOLDER’S SIGNATURE ................................................
TICK CARD: American Express‚ Mastercard‚ VISA

To pay by direct bank debit, send monies as detailed below and put your receipt number on enrolment form:
Account Name: PJ & GD Finlay
Bank: Westpac
Branch: Pennant Hills
BSB: 032 377
Account number: 680 444

Peter Finlay’s International Racing Drivers’ School (ABN 99 293 740 948)
40 Northam Drive North Rocks NSW 2151 Australia
Telephone: (02) 9873 1773 Facsimile: (02) 9871 1018 e-mail: peter@finlays.com.au


OFFICE USE ONLY (Form 1/6/06):
CONFIRMED .............................................................................
PAID ............................................GST : ....................................
COURSE COMPLETED ............................................................

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