Contemporary Dance Workshop Registration
Complete form below to signup for the contemporary dance workshop held on the 4th of February 2023.
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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How many will attend?
*
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( X )
Session 1: Beginners
09:00am - 10:00am
150.00
ZAR
Quantity
1
2
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6
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10
Session 2: Intermediate
10:00am - 11:00am
150.00
ZAR
Quantity
1
2
3
4
5
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9
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What payment option would suit you?
*
EFT (please use bank details below)
E-WALLET (0837287622)
Payment Type
First National Bank || Account Name: Oriental Fire || Account Number: 62751658918 || POP: +27 83 728 7622 || REF: Name & workshop date (eg. Dave 24/06)
Upload proof of payment
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