I confirm that the following would like to attend the next seminar at Port Macquarie.

Details are listed below.

Fields marked with * means they are required.

Name*

Phone*

Mobile Phone

Address*

Address 2

E-mail

No. Attending Seminar*

Stay at Aston Hill*

No. Of People

Payment By*

Comments

 

Thank you for your interest.

Judi Edmunds will confirm the total cost and confirm occupancy by telephone.

For any other information contact Judi at Aston Hill Motor Lodge Port Macquarie on 1800-235-232

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