COURSE APPLICATION FORM
Please enroll  me in the following course:

Course Name:    _____________________________________________      Class No:  __________________    
Date:         From:    ______________________        To:  _________________________
Start time:          
              am/pm
Name:         _________________________________________     

Address:         _______________________________________    

Telephone:    ____________________                               Membership Number__________________
$__________   enclosed         [Cheques preferred and made out to SeniorNet Canterbury Inc.]
 
 
Send to:         Course Co-ordinators, 25 Winters Road, Redwood, Christchurch 8051  (Not to the SeniorNet premises)
 
Course Fees:

 Please circle which of the following systems you use:   Windows  XP/ or / Windows 7

Most courses                                 4 classes of 2 hours each               .$30
Keyboard Skills                              3 classes of  2
  hours each              $20
Genealogy                                     8 classes of 2 hours each                $50
E-mail                                           2 classes of 2 hours each                $15
Irfanview 2 classes of 2 hours each        $15
Introductory 4 classes of 2 hours each    Free
Repeat courses   $15