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workshop booking form

DFB 05 WORKSHOP BOOKING FORM

Print, fill out and return to the DFB office, po box 569 Daylesford Vic 3460.
When your application has been processed you will be sent details of what you will need to bring to your workshop
*Please note. Silvi Glattauer photogravure workshop and Chris Scanlon
Global Institute workshops need to be booked directly through the presenters

I would like to register for the following workshop.

please circle name


Andrew Chapman Photo Documentary Sunday June 5th

Lynette Zeeng Creative Polaroid Processes Saturday June 18th

Trevor Foon Van Dyke Brown Sunday June 19th

Wendy Currie Cyanotype Saturday June 25th

Les Walkling Colour Management Sunday June 26th

my contact details:



First _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



Surname _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



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Town _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



State _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Postcode _ _ _ _ _ _ _ _ _ _ _ _



Telephone [ ] _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



Mobile _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



Email _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



All workshop fees include a non refundable $40 application fee. If you cancel your workshop booking up to 14 days prior to the workshop your payment will be refunded less the $40 application fee.

Cancellations less than 14 days from the workshop date will not be entitled to any refund unless we can find another participant to fill your space, in which case your payment will be refunded less the $40 registration fee.

All workshops require a minimum number of participants to proceed. If a workshop doesnt reach its minimum number of participants, those already registered will have their payment refunded in full.

I have read, understood and agree to my particpation in the indicated workshop subject to these terms and conditions.



signed _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



I enclose my Cheque / Postal order / credit card details for $_ _ _ _ _ _ _ _ _ being payment in full for my workshop [concession and dfb members must show proof for elegibility for concession price] Please make cheques and postal orders payable to Daylesford Foto Biennale


Visa / Mastercard / Bankcard [circle one]

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card holder __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



expiry date _ _ / _ _

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