Get Off the Concrete 2010 Cheque Remittance Form |
|
| Name: | __________________________________________ |
| Phone: | __________________________________________ |
| Amount of Cheque (enclosed): | __________________________________________ |
| Part/Full Payment: | __________________________________________ |
| - $345 full payment (sliding
scale to $285) or $95 Young men Those on lower incomes have the option of sliding down the scale. Payment plans and some subsidised places available. |
|
| - $50 deposit | |
| PLEASE SEND TO : | GOTC, Neil Chase, 39 Verran Road, Birkenhead North Shore 0626 |