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$77.27AUD

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD
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Payment