RACING DRIVERS’ COURSE - APPLICATION FORM

Your booking may be secured by posting/faxing this enrolment form and payment for the full amount of $750.00 incl. GST. Full payment must accompany application forms and you may pay by cash, cheque or any of the credit cards listed below.

Refunds are not available but you may transfer to another date with one full month’s notice. On receipt we will confirm your booking and send course joining instructions to you.

Please enrol me in the Racing Drivers’ Course: Course Date: ....................

Name: ..........................................................................................

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

......................................................... Post Code ...........................

Phone: (.......).................................. Mobile: ............................  Email ....................

Make of car: ..................................................................................
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‚ Bankcard‚ Mastercard‚ VISA

To pay by direct bank debit, send monies as detailed below and put the 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
Tel: (02) 9873 1773 Fax: (02) 9871 1018 e-mail: peter@finlays.com.au

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

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