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Bendigo Sandi Simons 2-day performance and confidence clinic
Clinics & Camps
Clinic Registration
Step 1 of 3 - Information
33%
Clinic Registration
Price:
$ 0.00
Clinic Registration
Price:
$ 100.00
Registration Type
Participant
Fencesitting
Number of Days
1 Day
2 Days
Dates Attending
Please provide the dates you will be attending
Day 1 Attending
*
Date Format: DD dash MM dash YYYY
Day 2 Attending
*
Date Format: DD dash MM dash YYYY
Day 3 Attending
*
Date Format: DD dash MM dash YYYY
Day 4 Attending
*
Date Format: DD dash MM dash YYYY
Name
First
Last
Email
Phone
How much will you be paying today?
FULL AMOUNT
50% DEPOSIT
MINIMUM DEPOSIT (NON-REFUNDABLE)
Amount Paid Today
remaining balance due 2 weeks prior to the event date
Amount Paid Today
remaining balance due 2 weeks prior to the event date
Credit Card
Card Details
Cardholder Name
Email
This field is for validation purposes and should be left unchanged.
Clinic Details
Start Date
1 May, 2021
End Date
2 May, 2021
AU State
VIC
Full Cost
$500
Fence Sitting
$132
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