Pre-Booking & Payment Form
If you wish to pre-pay for your Tai Chi classes. Please fill
out the enrolment form and post it with your payment to
53 Cowen St, Margate 4019 Qld.
We will reserve you a place in the class, and for pre-paying
and booking you will receive a
Free Music & Instruction Audio CD.
Name ____________________________________________
(Please list additional names on the back of this form)
Address ____________________________________________
__________________________________________________
Suburb ___________________________________________
Post Code __________
Phone _____________________________
Class Venue ________________________
Venue Time __________am/pm
Fee Enclosed $________
Enclosed is my Cheque, Postal Order (Please Circle)
(made payable to Tai Chi School of Gentle Exercise)
Or charge my Master Card Visa Card (Please Circle)
Card Number |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Signature ________________________________________
Expiry Date __/__/__ CVN number __/__/__