Singing To The Heart Direct Debit

Please fill in the form for each traveller.

Note that

the cost is in Australian dollars.
on the bank transfer enter your name and the program's initials. So someone paying for SINGING to the Heart {STTH} named Smith should write SMITH - STTH.

All bank details will be visible as you proceed through the booking process.

The SINGING TO THE HEART prices are:

Early Bird Full Price - $6990 AUD per person

Single Supplement - $1500 AUD {payable on booking}

Deposit - $1500 AUD {payable on booking}

Balance after paying Deposit - $5490 AUD

First Name

Gender

Last Name

Date of Birth

Special dietary requirements

Please note any previous payments for this event

Please note if you are paying for others in your Direct Deposit

Please reserve single room for me. I understand the single supplement of $1500 is to be paid with my final balance

Phone

Travelling with others? Please list them here

Health issues we need to know about?

How did you hear about us?

I have read and agree to the terms and conditions