Joanna Blair - Professional Make Up & Hair Styling Courses
 
      SECURE PAYMENT FORM
 
           Any Balance Outstanding is payable in the week before the start of your course  
       
      YOUR PERSONAL DETAILS
 
* Student Name :    : Surname
* Age of Student : 
* Address : 
* Suburb : 
* City / Town : 
* Postcode : 
* Anti Spam :  : Type this word lower case -
 
* Phone : 
* Cell Phone : 
* Email :  * Important
 If using a Hotmail or similar email, due to our security system, you may need to check your junk mail for a reply.
 
Name of COURSE or SEMINAR : 
You are Enrolling into : 
eg: Module 1 Evening Makeup Course : 
Date of Course or Seminar Commencement : 
 
 
      YOUR PAYMENT DETAILS
   

Payment can be made by Pay Pal (Visa, Mastercard or American Express) or Direct Deposit.
If making payment by Direct Deposit or Pre-Paid Voucher,
press the Submit button below and when the screen refreshes to PayPal, please just close the screen.

   
Select Payment Method :  
Pay Pal : use Visa, Mastercard,
    American Express or Pay Pal Account

Direct Deposit Acct 148611 : BSB 033 179
    Account Name : Joanna Blair
    Please be sure to use your name as a reference
    for this Deposit 
 
  MAKEUP / HAIR COURSES: A minimum deposit of $500
is required to secure your place in each course
(deposit is non-refundable).
  SEMINARS: Must be paid in full on enrolling.
   
First Name of Person Paying :     : Surname
   
Amount $      
 
 
    
   

If making payment by Direct Deposit or Pre-Paid Voucher,
press the Submit button above and when the screen refreshes to PayPal, PLEASE just CLOSE the screen.

   
  Your IP [ ] was logged with this transaction
  
 
   Joanna Blair
   Professional Make Up & Hair Styling Tuition
   Melbourne, Victoria, Phone : 0408 867 467

  
  E-Mail Joanna | www.joannablair.com.au
 
registration and payment form by Stephen Jones