| Participant's Name:
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Parent
Student
Teacher
Therapist |
| Please specify Collage/University/Organization, if any:
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| Contact Number:
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| Email Address:
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| Attending Workshop as below:
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I am attending workshop on 23 November
I am attending workshop on 30 November |
| Child's age:
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| Child's name:
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| Facebook:
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| Payment made by:
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Bank Details:
Name: AMPAC or Anne Musikschule Performing Arts Centre
Acc No: PBB 3 140 745 301
(Please SMS the Name & Transaction code to 016915 0218 or email: ampac8@gmail.com)
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Thank you for your registration. I will contact you once your information and payment accept by ampac management. |
| How do you hear about this event?
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Web site
Email
SMS
Flyer
Friends/Teacher |
| Feedback:
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