Online Registration form

Name *
Name
Phone *
Phone
Morning Session: 10:00-12:00
Afternoon Session: 13:30-15:30
Cost
Full Day: WTQA Member: $60 Non Member: $80 One Session: WTQA Member: $35 Non Member: $50
Payment
If paying by EFT or Bank Transfer: Bank: Westpac Banking Corporation Branch: Ashburton BSB: 033106 Account Number: 315036 Account Name: WTQA Please note: Use your initial and surname as reference and include the receipt number in the field below If paying by money order or cheque, please make payable to: Wushu Tai Chi and Qigong Australia INC Registration, release forms and payment to be mailed to: Wushu Tai Chi and Qigong Australia INC. PO Box 246, Ashburton, VIC 3147
I have read and agree to the terms and conditions *