MEMBERSHIP FORM
Please fill form out carefully.
Student Name
*
First Name
Last Name
Mobile Number
*
Student E-mail
*
Class details
MONDAY
TUESDAY
BOTH NIGHTS
OTHER
MEMBERSHIP NUMBER
*
(Ask your teacher for details or call Jake on 0413 388 528 )
MEMBERSHIP SIGN UP DATE
*
-
Day
-
Month
Year
Date
PAYMENT METHOD
*
BANK TRANSFER
CASH
OTHER
PLEASE SEND FULL PAYMENT OF
$99
TO
JAKE MALONEY
BSB:
062 580
ACCOUNT NUMBER:
1031 6365
UPLOAD SCREENSHOT / PHOTO OF PAYMENT RECEIPT
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Terms & Conditions
(Please read carefully)
Total fee payable is $99 AUD.
Membership includes discounted entry to all Cadillac Rockers dance classes, workshops and events, a printed shirt and one 30 minute private dance lesson.
This membership is non-transferable/non-refundable.
Memberships expire 12 months from payment date.
All membership fees must be paid in full at time of this forms completion.
Payment can be made in cash or via direct deposit to “Jake Maloney”( BSB :062580 ACC: 10316365 )
You will receive 1 x 30 minute private dance lesson voucher at time of payment. (Valid for the duration of the membership).
- All private dance lessons are taught by Cadillac Rockers Owner/Head teacher, Jake Maloney.
Private lessons must be scheduled via appointment by calling Jake Maloney on 0413 388 528 at least 1 week prior to preferred lesson date.
You will be required to fill out a “SHIRT ORDER FORM” to receive included printed shirt.
Shirt orders may take up to 8 weeks to process depending on order volumes and availability.
Cadillac Rockers maintain the right to refuse entry to any person/s (including members) without warning for reasons including (but not limited to), inappropriate language/ behaviour and/or other safety concerns.
*
I have read and agree to all terms & conditions above.
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