ONLINE PERMACULTURE DESIGN COURSE REGISTRATION FORM Order Number First Name * Age * Place of Residence * Contact Number * Current Occupation * Last Name * Email Address * First Language * Nationality * Are you doing this course with a partner or on your own? No Yes Select an option If you are taking our Partners Discount Option then please name your partner * Basic Description of Property For Design Project * What is your preference for you design work, hand drawn or computer based? * Type of computer operating system * Are you able to fulfil the basic requirements of the course {please see the website for details}, if not please specify any concerns you may have? * Any other questions you may have please fill them in here.