If you have questions before enrolling use either of the e-mail addresses below.
Enrollment Form for Courses
Name:...........................
Email:...........................
Telephone:.......................
Home number:....................
Hand Phone:.......................
Residential Address: ................................................................................
..............................................................................................................
I wish to enroll for the following course(s).
Course name and dates:
Course(s) 1:......................................................................
Course
2:..........................................................................
|
Please copy and submit this form by email to:
baliartcourses@yahoo.com
or brcerobert@yahoo.com
We will then send details for transfer of payment to you.
After payment is received we will confirm your participation by email.
I intend to contact Sri Ratih cottages directly to reserve my room at:
E-mail: sriratih@indosat.net.id
Phone: +62(0361) 976564
Or Fax 62 (0361) 976550
If you don't hear from us within a week, please contact any of the following;
E-mail: bali_artcourses@yahoo.com
E-mail: brcerobert@yahoo.com
HP +60-124179614
|