Registration Application

LIMITED SPACES AVAILABLE
(Immediate registration required for consideration of inclusion in the next course)

PYROTECHNICIAN FIREWORKS TRAINING COURSE
2011 – 2012

Certificate of competency will be issued on successful completion of the course

Name (required)

Address

Phone(required)

Mobile (required)

Email (required)

Occupation

Age

Reasons for wanting to participate in the course (required)

Registration is required if you wish to be considered for inclusion in the next course.

Further information is available by contacting course presenter Keith Lewis by ringing the telephone numbers shown below:

Telephone: (03) 9525 5505
Mob: 0438 578 124

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