Individual Registration

Please enter information in the form below to process registration for event Wedding Dance Lessons.

First Name *

Last Name *

Postcode *

Have you been to The Space before? *

Phone *

Email *

Please select the package that you would like to go with.

Package Options *

Wedding Date *

Fiance Name *

Name of Song (if you know it, otherwise your teacher can help you with some suggestions).

Pop down an idea of when would work for you to have your lessons (day of the week and earliest time that you can get to the studio). *

Comment

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PayPal Pay in 4 is for eligible purchases between $30–$2,000 AUD. It’s available to Australian residents with an Australian PayPal account. Eligibility is subject to your PayPal account status and a credit assessment, which may require a credit check. Pay in 4 is a form of credit, so consider whether you can afford the repayments as use of the product may impact your credit score. *PayPal Payment Processing Fee is 2.6% +$0.30 per transaction.

Payment Information

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Discount Amount

GST (10%)

Payment Processing Fee

Total Amount

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Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

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