Enrolment and Payment

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ENROLMENT AND PAYMENT

* Indicates required field

Name *

First

Last

LOCATION *

Brisbane, Australia 8th - 10th July Sydney, Australia 11th - 13th July Auckland, NZ 14th - 15th July Hamilton, NZ 16th July Napier, NZ 17th July Wellington, NZ 18th - 19th July Nelson, NZ 20th - 21st July Christchurch, NZ 27th -28th July Invercargill, NZ 5th August

GENDER *

Male Female

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Emergency Contact *

Age *

Discount *

Dance School *

Result of Last Examinatiom *

Current Level *

Clothing Size *

Learning Difficulties *

Health Concerns *

Payment Amount *

Payment Method *

Internet Banking (NZ only) PayPal

** When pay by PayPal please use the "Pay" button next to this form and you will be directed to secured link for your payment. Please don't forget to submit this enrolment form. And remember fees are non-refundable. Thank You.

Submit

Pay by PayPal

Pay by Direct Credit

Payment Detail (NZ ONLY):

Dance Masters International
01-0819-0455943-00

Please use student's name as reference.
Seminar fees are non-refundable.

Home
Guest Tutors
Info
DMI ITP
DMI Passion Awards
Dance Student Feature
DMI Supporters
Contact
Shop