ENROLMENT FORM
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Alternatively Download and Send an Enrolment Form in Microsoft Word Format

Adult Enrolment Form

Register your Interest
* Asterix denotes a compulsory field.
Class Date *
Number of People Attending class *
Cost *
Gift Voucher Number/s
First Name *
Surname *
Email *
Confirm email *
Daytime Phone *
Mobile Phone
Address *
Postcode *
City *
State
Country *
Gender *
Birth Date
Age Group

Do you have any allergies so that you won't be disadvantaged by the menu?

How did you hear about Cucina Italiana Cooking School?

Have you previously attended a Cucina Italiana cooking class? *

Would you like to receive information about International Guest Chefs, cooking tips and Cucina Italiana promotional offers:*
 
Payment Information
Payment Type *
Cheque / Money Order
Direct Deposit
VISA
MasterCard
AMEX (2% Surcharge)
Voucher (Please enter your voucher number in the appropriate field above)
This site is secure, any credit card transactions are processed using a secure payment gateway.

Please click here for Cheque / Money Order or Direct Deposit payment information
Name on Card
Card Number
Expiry (MM/YY)
Your Card will only be charged once we confirm that there is space in the class you have selected.
 
Please confirm you have read the terms and conditions section. *
 

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Cucina Italiana Cooking School Pty Ltd: ABN 42 110 681 135

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