Monthly Subscription Form.

Monthly Subscription Form.

Legacy School Of Music and Vocal Tuition Pty Ltd WHATSAPP: 0685354924/ VAT NO: 4050275744 ADDRESS: 110 Raats Drive, Tableview, 7441 Registration Number: 2012/034944/07
STUDENT NAME*

First NameLast Name
PERSON RESPONSIBLE FOR THE ACCOUNT*

First NameLast Name
Email*
Phone Number*
Please enter a valid phone number.
BANK NAME:*
ACCOUNT NUMBER:*
ACCOUNT TYPE*

CURRENT / CHEQUESAVINGSTRANSMISSION ACC
MONTHLY SUBSCRIPTION AMOUNT AS SHOWN ON INVOICE*
PLEASE CHOOSE THE DATE YOU WOULD PREFER YOUR SUBSCRIPTION TO GO OFF*

1ST OF EACH MONTH15TH OF EACH MONTH
FROM WHICH MONTH WOULD YOU LIKE THE SUBSCRIPTION TO START.*
MARCH, APRIL, MAY ETC
IMPORTANT: Please kindly note that should a late submission of this form occur.

For example: The date you've chosen is the 1st of August but the form is submitted on the 10th of August, after the due date, a double debit will occur on the 1st of the upcoming month.

If in the event that the form is submitted towards the end term, the amount debited can include any outstanding fees still reflecting on the invoice up until the submitted date.
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