To register for any of the courses, please print off and complete this form then
return it with your cheque for the appropriate tuition and materials fee (if applicable) to:
Robyn van Reenen, 641 Ballantyne Road, R D 2, Wanaka 9382

I wish to enrol for the 2010 Wanaka Autumn Art School, and wish to be included in the following course(s):- (Please indicate your first and second choices) 1st choice .......................................... 2nd choice......................................... 101 Writing (Class Full) 102 Secrets of Still Life (Class Full) 103 Water colour painting (Class Full) 104 Painting & Drawing (Class Full) 105 Intaglio Print Making 106 Photographic Story Telling 107 Digital Landscape (Class Full) 108 Beginners Guide to Digital Photography (Class Full) 109A Fly Tying 109B Fly Fishing 110 Tutorless Textiles 111 The Sound of Your Own Voice 112 Calligraphy 113 Book Arts (Class Full) 114 Cooking 115 Wood carving YOU ARE ADVISED TO ENROL EARLY TO ENSURE YOUR PLACE   Please pay directly into our bank account 03 1739 0031168 00 including your name in the reference section or post the form enclosing a cheque made payable to the Upper Clutha Community Arts Council (UCCAC) made up as follows: Course No………………….........................Fee $…………. Materials or model Fee - if applicable………… $…………. Evening Meal (Thurs) - $32………......………… $…………. TOTAL ENCLOSED ………………….…….....…. $________ Please fill in the following: First name Surname Name (Mr/Mrs/Miss/Ms) :…………………………………….. Address ………………………………………………………... ………………………………………………………………….. …………………………………………………………………. ………………………………Postal Code:..................... Telephone: Home……………............. Work……………………....... Email: ………………………………… PLEASE REMEMBER THAT REGISTRATION WILL BE ON A FIRST COME, FIRST SERVED BASIS. EARLY REGISTRATION IS ADVISABLE. THOSE RECEIVED AFTER MARCH 12th, 2010 MAY NOT BE CONSIDERED. For office use: Receipt No………… Date…......... Organiser: Robyn van Reenen, 641 Ballantyne Road R.D.2, WANAKA, 9382 Phone: 03 443 1810, fax: 03 443 7889 Email: rvr@cleangreen.co.nz

The Wanaka Autumn Art School is a not for profit activity. Surplus funds provide scholarships for young & needy artists
and the betterment of the arts in the Upper Clutha Community.

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