Contact Office Use Only Address Suite 1, Level 1, Bld 1 Student Login ______________ 20 Bridge St, Pymble NSW 2072 □ Flat Glass Exam Complete Phone 02 9498 2768 □ Invoiced Fax 02 9498 3816 Email info@wfaanz.org.au □ Payment Received Website www.afti.edu.au □ www.wfaanz.org.au Entered on Data Base Enrolment Application □ Student Enrolled ABN 83 783 789 769 □ Enrolment Email Sent WERS for Film Online Training Course Note: The Flat Glass Exam must have been passed prior to enrolling in this course. Learner’s Details Family Name Given Names Preferred Name Male Female Email Phone (0 ) Fax (0 ) Details Company’s Company Name Postal Address City State P’code Phone (0 ) Fax (0 ) Enrolment Details I have read, understood and accept all of the contents, terms and conditions detailed in Handbook. AFTI’s Learner’s Yes No If responding electronically learner must type in their name signifying agreement to the above. Printed forms require a signature. Learners Signature Date (d/m/yyyy) / / Payment Member Course + Annual Licence - $ 475.00 (plus GST) WFAANZ Member Number: Non Member Course + Annual Licence - $ 925.00 (plus GST) Party Making Payment Learner Employer Other (Please name) Payment Method MasterCard Visa Cheque Direct Debit Credit Card No Name on Card Cardholder Signature Expiry / Direct Debit: WFAANZ Westpac BSB 032 016 A/C No 377634 Please provide Learner Surname as the Reference and provide remittance advice to WFAANZ at info@wfaanz.org.au Enrolment Policy Bookings: Enrolments must be accompanied by payment. How did you learn about the course? Member Internet Referral Business Directory Other Please provide details:
Contact Office Use Only Address Suite 1, Level 1, Bld 1 20 Bridge St, Pymble NSW 2072 Phone 02 9498 2768 Fax 02 9498 3816 Email info@wfaanz.org.au Website www.afti.edu.au www.wfaanz.org.au ABN 83 783 789 769 Student Login ______________ Flat Glass Exam Complete □ Invoiced □ Payment Received □ Entered on Data Base □ Student Enrolled □ Enrolment Email Sent □ Enrolment Application WERS for Film Online Training Course Note: The Flat Glass Exam must have been passed prior to enrolling in this course. Learner’s Details Family Name Given Names Preferred Name Male Female Email Phone (0 ) Fax (0 ) Company’s Details Company Name Postal Address City State P’code Phone (0 ) Fax (0 ) Enrolment Details I have read, understood and accept all of the contents, terms and conditions detailed in AFTI’s Learner’s Handbook. Yes No If responding electronically learner must type in their name signifying agreement to the above. Printed forms require a signature. Learners Signature Date (d/m/yyyy) / / Payment Member Course + Annual Licence - $ 475.00 (plus GST) WFAANZ Member Number: Non Member Course + Annual Licence - $ 925.00 (plus GST) Party Making Payment Learner Employer Other (Please name) Payment Method MasterCard Visa Cheque Direct Debit Credit Card No Name on Card Cardholder Signature Expiry / Direct Debit: WFAANZ Westpac BSB 032 016 A/C No 377634 Please provide Learner Surname as the Reference and provide remittance advice to WFAANZ at info@wfaanz.org.au Enrolment Policy Bookings: Enrolments must be accompanied by payment. How did you learn about the course? Member Internet Referral Business Directory Other Please provide details:
WERS%20for%20FILM%20Enrolment%20Form.docx