Enrolment and Payment

ENROLMENT AND PAYMENT

* Indicates required field

Name *

First

Last

LOCATION *

Auckland 6th-11th January Christchurch 15th-18th January

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 (at time of workshop) *

Clothing Size *

Learning Difficulties *

Health Concerns *

Payment Amount *

Payment Method *

Internet Banking PayPal Payment Plan - Paid by June 2019 (Please email us for this option)

** 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

Auckland Summer Seminar 2020

NZ$650.00

Pay

Christchurch Summer Seminar 2020

NZ$500.00

Pay

Pay by Direct Credit

Payment Detail:

Dance Masters International
01-0819-0455943-00

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