ESTILL VOICE TRAINING Level 1 & 2
COURSE WITH JENNY CAIRE
7th to 11th November, 2015(9:30am to 5:00pm DAILY)
REGISTRATION FORM
Name : __________________________________ (Mr / Mdm / Ms) Age :
_________
Telephone (Land Line) :__________________ (Mobile)
:_______________________
Address :
_____________________________________________________________
______________________________________________________________________
State :________________ Postal Code :_______________ Country
:_____________
Email : ___________________________ Facebook :
__________________________
SPECIAL EARLY BIRD PRICE : RM2500.00*** (Application Deadline
with Non-Refundable Deposit by 20th May 2015) Early Bird
registration by October 5th, 2015: RM2800.00***
Course Fee: Cost : RM3500.00*** ***All payments are
NON-REFUNDABLEPayment Method :
! Bank Transfer (International applicants kindly include extra
RM45 for bank charges)! Banking Information:! Bank : CIMB Bank
Branch : The Strand Kota Damansara Swift Code : CIBBMYKL
! Account Name : BROADWAY ACADEMY Account No : 8007-2921-99!
(Kindly scan and email us your banking slip)
! Cash Payment (in Malaysian Ringgit Only)
! Cheque (For cheque drop off or deposit, kindly scan and email
us your banking slip)! Make cheques payable to : BROADWAY
ACADEMY
! Bank Machine Deposit (Kindly scan and email us your banking
slip)! Account Name : BROADWAY ACADEMY Account No : 8007-2921-99!
(Kindly scan and email us your banking slip)
Kindly note that applicants below 18 years old will have to sign
off a parental consent form. Kindly ask us for this form.
Signature :! ! ! ! ! Name :! ! ! ! Date :
