Supersonics Piano Workshop

Supersonics Piano Workshop

Participant Registration Form
Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number
Do you have any dietary requirements?
Payment

Payment is required at time of registration (either via PayPal or direct deposit). If you would like to use direct deposit contact support@supersonicspiano.com to arrange this. All payments are non-refundable.
PayPal payment (only tick this box if you are paying via PayPal)
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Workshop fee$77.27 AUD

Subtotal $0.00 AUDTax $0.00 AUDTotal $0.00 AUD
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Payment