Registration Form
Name of event
Full Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
Payment option
Cash at Door
Direct Deposit
Credit card
Send Form
Direct Debit
Westpac Bank
Bamboostone Foundation
AC: 274015 BSB: 034238
Credit Card
Click
Stratapay
to make a secure online payment.
Ref:100379403 (host organisation - Dancing the divine)
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