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Student Name *

First

Last

Class Day *MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Class Time *

Email *

Phone *

YEAR 4- June FEES *

• Year 4- June Fees- 6th June - 3rd July- 4 sessions(Late fee £5) - £1.00

Total Amount

£0.00

Signature

Clear Signature

PayPal Commerce *

PayPal CheckoutCredit Card

Card Number

Expiration Date

Security Code

Card Holder Name

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