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PLEASE PRINT OUT AND COMPLETE
NAME:
ADDRESS:
DATE OF BIRTH:
CONTACT NUMBER: (W)
(H)
MOBILE:
EMAIL:
A. PLEASE CIRCLE THE FOLLOWING:
1. If you would like to attend THE WRITE VOICE creative writing workshop in Cape Town on February 11 and 12, 2012 from 10am until 5pm, the cost is R950.
2. If you would like to attend THE WRITE JOURNEY WEEKEND WORKSHOP FOR SCREENWRITERS on February 25 and 26, 2012 in Cape Town, the cost is R950.
* There is a 25% discounted rate for Friend of the Writing Studio. Send an email to info@writingstudio.co.za for more information
B. DEPOSIT THE REQUIRED AMOUNT INTO THE ACCOUNT or INTERNET TRANSFER:
Account name: D.E.Dercksen (Sole Proprietor trading as The Writing Studio)
Standard Bank - Kromboom Branch
(Branch code 026209)
Savings Account number: 27 550 5618
TAX NUMBER: 061 708 2151
C. KINDLY PRINT, THEN FAX (EMAIL) SIGN UP FORM AND DEPOSIT SLIP TO:
086 759 3291
This confirms that _____________________________________ will attend
_________________________________________________________
SIGNATURE OF PERSON RESPONSIBLE FOR FEES
DATE:
All you need for the workshop is a notebook, pen and your imagination.
Please ensure to be at the workshop at least 15 minutes before it begins.
Please bring the registration form and deposit slip to register
You are now ready to develop the write attitude or vision.
Thank you for your support.
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