KCLC POSTAL ENROLMENT INFORMATION

Please read this information before completingthe Enrolment form.

When is a Postal Enrolment acceptable?

If you are working full time, travelling overseas/ interstate, are seriously ill or in hospital we will accept your Postal Enrolment.

Can I enrol and pay later?

Sorry - No. You must include your payment with your enrolment.

I don’t qualify for Postal Enrolment. How else can I enrol?

A family member or a friend can enrol you in courses during Enrolment week (February 6-10, 2017).

Give your friend all required details (your address/phone numbers/emergency contacts/email address/courses/your preferred Workgroup) as well as correct payment. Your enrolment is only valid on receipt of payment.

Where do I find out about Courses and fees?

Aprovisional Timetable is on the KCLC Website . The final Semester One Timetable will be published in The Echo newspapermid-January 2017.

How do I Pay my Postal Enrolment?

You can pay by Cheque or Direct Deposit.

By Cheque:

1: Complete the Enrolment Form.

2: Determine the total cost for the Semester (Course fees as shown on the Timetable PLUS $5 membership)

3: Make your cheque payable to: Kalamunda Community Learning Centre

4: Post cheque and Enrolment Form to KCLC, PO Box 116, Kalamunda, 6926

By Direct Deposit:

1: Complete the Enrolment Form.

2: Determine the total cost for the Semester (Course fees as on the Timetable PLUS $5 membership)

3: Pay your Direct Deposit to Bankwest: BSB 306 075 Account No.4172260

(Reference: P.E. and your Surname)

4: Post the completed Enrolment Form to KCLC, PO Box 116, Kalamunda, 6926 or scan and email to (Important: Include Postal Enrolment in the email subject line.)

I need more information– can someone help me?

Forinformation on Courses, Fees and Enrolment contact Katherine Ardizzone () or Lindsay Goodwin ().

KCLC POSTAL ENROLMENT SEMESTER 2 2017

Complete and post or email to KCLC by July21st, 2016.

Post:KCLC, PO Box 116, Kalamunda WA 6926 Email:

If you are working full time, travelling overseas or interstate,or are seriously ill we will accept your postal Enrolment. Firstly, please explain why you are requesting a postal enrolment:

……………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………

Please print clearly:

SURNAME ……………………………………….…………………. GIVEN NAME……………………………………………………………..

ADDRESS……………………………………………………………………………….. PHONE…………………………………………………

SUBURB………………………………………………….POSTCODE……………… MOBILE………………………………………………

EMAIL…………………………………………………………………………………………………………………………………………………………

EMERGENCY CONTACT: NAME……………………………………………………PHONE…………………………………………….…

CHILDREN IN CRECHE: NAME………………………………………………………… AGE………..

NAME………………………………………………… AGE…….. NAME………………………………………………………… AGE………

Leave grey sections blank for administration purposes.

COURSES / WEEKS / DAY / am/pm/eve / FEES
Or C= casual / NB: Payment must be included with postal applications by cheque or via a direct deposit.
1. / :00
2. / :00
3. / :00
4. / :00
PLUS MEMBERSHIP FEE / 5:00
VOUCHER # (if applicable) / DATE: / TOTAL:

Information for our insurance policy: Are you over 75? Yes No

(This information is required as we pay a higher insurance rate for members over 75.)

WORKGROUP DUTY

All members (excepting Casual students) contribute to the running of the Centre by completing a duty organised through one of the Centre’s many Workgroups.Workgroup descriptions are on our Website. If you have a preferred Workgroup duty each Semester please list here: ______

If you do notnominate a Workgroup, we will place your name on a General Workgroup list.

PAYMENT

Please indicate your payment choice:

I have:

Included a cheque OR Made a Direct Deposit Date______