I wish to make application to bbodance for membership as a Student Vocational Member: Please tick the applicable box Working in Grade Six 2018 - $65.00 Working in Intermediate Foundation 2018- $65.00 Classical Ballet Tap Jazz Character Personal Details Please type on this form and return via email DO NOT HAND WRITE Name: Address: Postcode: Email: Home T: Mobile T: Studio Details Name of Studio/Teaching Centre: Principal of Teaching Centre: Payment Details Cheque – Please post cheque to above address with a copy of this typed form (not hand written) Please make cheque payable to British Ballet Organization (not bbodance) Direct Deposit – Account Name: British Ballet Organization (not bbodance) BSB: 032 289 Account Number: 159851 (Your Name must be the Bank Reference) Credit Card – Visa or Mastercard Only (Please note a 2% bank fee will be added to the total) Cardholder’s Name: Card Number: Expiry Date: Date of this Application:
I wish to make application to bbodance for membership as a Student Vocational Member: Please tick the applicable box Working in Grade Six 2018 - $65.00 Working in Intermediate Foundation 2018- $65.00 Classical Ballet Tap Jazz Character Personal Details Please type on this form and return via email DO NOT HAND WRITE Name: Address: Postcode: Email: Home T: Mobile T: Studio Details Name of Studio/Teaching Centre: Principal of Teaching Centre: Payment Details Cheque – Please post cheque to above address with a copy of this typed form (not hand written) Please make cheque payable to British Ballet Organization (not bbodance) Direct Deposit – Account Name: British Ballet Organization (not bbodance) BSB: 032 289 Account Number: 159851 (Your Name must be the Bank Reference) Credit Card – Visa or Mastercard Only (Please note a 2% bank fee will be added to the total) Cardholder’s Name: Card Number: Expiry Date: Date of this Application:
4_NEW_Student_Membership_2018_AU.docx