Learning about Wine in Small Groups

Enrolment Form

This form is for those wishing to enrol and arrange alternative payment options.

Course Occurrence

Name as on passport/ID

First Name

Last Name

Preferred name

First Name

Last Name

Email Address

Phone Number

Street Address

This is the address we use to send out course materials and certificates. Please advise us if this address changes.

City

WSET ID (if applicable)

Gender

Male

Female

Date of Birth

YYYY

Diversity and Equality Policy

The Wine Education Group has a policy of making reasonable adjustments to teaching and assessment in order that candidates with a disability are not disadvantaged. Do you require any assistance in learning and assessment that is the result of a disability?

Yes

I have read and accept the Wine Education Groups Policies

Yes

Payment Options

I require a GST invoice for Direct Debit

I require a 20% deposit invoice and wish to pay the balance in instalments

Voucher number (if applicable)

Please make invoice out to

Subscription

I would like to receive course updates and news from Wine Ed Co.

Yes Please!

No Thanks