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Course Code |
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Course Title |
Cost |
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International Permaculture Design Course |
$1,200.00 |
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Total |
$1,200.00 |
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Credit card number:
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Cardholder's name |
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How did you learn about our courses?
Newspaper |
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Brochure |
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Word of mouth |
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Other . . . . . . . |
Why do you want to learn? Please tick all that apply to you.
To get a better job |
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To increase my skills |
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To start a new hobby |
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To meet new people |
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To be more confident |
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To be healthier / fitter |
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To improve my business |
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To keep myself busy |
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To learn something new |
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Another reason? . . . . . . . |
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The following statistical information helps us to monitor who uses our courses.
Please circle the correct options below:
Sex |
Male |
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Female |
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Age group |
16-19 |
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20-29 |
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30-39 |
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40-49 |
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50-59 |
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60 + |
Ethnicity |
NZ European |
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Mäori |
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Pacific Nations |
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Asian |
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Other ……….. |
Residency |
New Zealand Resident |
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Non Resident |