Tags: application form, card holder, card number expiry, cardholder name, education centre, enrolment form, gift voucher, gift vouchers, mail address, mastercard visa, mitigating circumstances, payment details, purchaser name, recipient name, tax invoice, visa card number, voucher recipients, wine course, wine education, wine industry,
Wine Course Gift Voucher
Wine Education Centre
Please provide a gift voucher as per the following:
Course Name: Course Cost:
Recipient Name:
Details of Purchaser:
Name: __________________________________________________________________________
Mail Address (where voucher is to be sent):
Postcode:
Phone: A/H:
Email:
Payment Details
Please find enclosed a cheque, payable to the "Wine Industry Association of WA" for $ ____________
Or charge my MasterCard Visa
Card Number: ________________________________________ Expiry Date: ____________Total: $__________
Cardholder name: ______________________________________________
Please forward a tax invoice for my purchase
Signature of card holder __________________________________________________
Once payment is received, a gift voucher will be posted by mail to the nominated address together
with a schedule of available courses and an enrolment form.
Receipt of a gift voucher does not reserve or confirm a place in a particular course for the recipient.
To enrol in a course, gift voucher recipients must return a completed application form to the Wine
Education Centre nominating their choice of class, date and time.
Enrolment in the nominated class will be confirmed by email. If the nominated class is already fully
subscribed the gift voucher holder will be advised by telephone and an available course
substituted.
As demand for places is at a premium and classes are always fully subscribed, please note that
once a place is confirmed, unless there are mitigating circumstances,
· No refunds will be issued.
· Deferment to a later date will not be permitted.
GIFT VOUCHERS ARE VALID FOR SIX MONTHS FROM DATE OF PURCHASE
Please return this form by mail or fax to
The Wine Education Centre
Level 1, 22 Prowse Street, West Perth
Phone (08) 9226 1188 Fax: (08) 9226 1199