Course venue and dates:
Surname (Mr/Mrs/Ms/Miss/Dr/Prof):
First name:
Date and country of birth:
Position (if applicable):
Name of organisation (if applicable) and address (including post code and country):
Residential address:
Tel (BH):	Tel (AH):
Mobile tel:	Fax:
Email address:
PAYMENT OPTIONS (please tick preferences) [ ] BRL770 (Brazilian real) standard fee paid after July 31, 2008 [ ] BRL280 discount discount for "early bird" fees paid in full on or before July 31, 2008 [ ] BRL140 deposit (balance due by July 31, 2008) [ ] BRL100 discount per person for three or more bookings from the same organisation Enclosed is my fee of _______ euros Payment method: [ ] cheque* [ ] money order* [ ] electronic funds transfer (details available on request) *payable to Peter Spinks
I have read and agree to the conditions of registration as outlined below.
Participant's signature:	Date:

Conditions of registration: * Any booking cancelled before August 30, 2008 will be refunded less a 40 euro administration fee; a 20 per cent cancellation fee will apply after this date. * No refund for any cancellation received after August 30, 2008. * Cancellations must be in writing. * A substitute is welcome if you cannot attend. * A deposit is forfeited if the balance due is not received by August 30, 2008. * Peter Spinks is not liable for circumstances that may force this workshop to be cancelled or postponed. If this happened, participants would be given the option of attending at another time or of a full refund. * All information provided by you on this form is strictly confidential.

Please print out this form, complete it clearly in block capitals and post with your remittance to: Peter Spinks, PO Box 409, Romsey, Victoria 3434, Australia.