APPLICATION FORM
 
   
Yes, I am interested in enrolling in the following module/s of the Creative Writing Course. (Please tick preferred modules.)
 
   
___ Getting Ideas & Getting Started
___ Characterisation & Dialogue
___ Writing a Short Story
___ Poetry
___ Editing
___ Opportunities for Young Writers

I understand that the modules cost $50 each. Please find enclosed my cheque/money order for _________ being for ______ module/s. (Cheques payable to Di Bates, thank you.)

I would prefer to undertake the module by snail mail correspondence/email. (Please circle preferred method). If you wish to pay by internet banking, contact Di by email

NAME___________________________________________________

AGE___________

ADDRESS________________________________________________

PHONE __________________________________________________

EMAIL __________________________________________________

Please send this form and amount payable to:

Di Bates, PO Box 2116, Woonona East NSW 2517

Please note that you will receive your module/s by mail or email within one week of receipt of payment. You can submit your assignment whenever you choose

.For further information email Di