Willows Squash and Fitness Centre

Select Wellness Workshop

Client 1

Client Details

Attendee First Name

Attendee Last Name

Email Address

Confirm Email Address

Mobile/Cell

Workshops Dates

From 06-Mar-2019 to 06-Mar-2019

Workshops Days & Times

Once a time slot is full you will be asked to make another choice.

	Wednesday, 06-Mar-2019	11:00 AM	to 12:00 PM	Willows Health and Lifestyle Centre	Select Wellness Workshop
	Wednesday, 06-Mar-2019	07:00 PM	to 08:00 PM	Willows Health and Lifestyle Centre	Select Wellness Workshop

DISCLAIMER:
If payment is not recieved within 48hrs of booking your reservation will be forfeited. You will recieve a booking and payment conformation following completion of the booking and payment process.

Agreement

Signed

Date

/ /

Payment Method

There are no refunds for any enrolments into Willows Squash and Fitness Centre related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.

Cost

$20.00 per session

Cost Per Person

$20.00

Total Cost

Group Discount

Promo Code

Promo Code Discount

Grand Total

Credit Card (Ezidebit)

Please mail this form with a payment attached to: "Willows Health & Lifestyle Centre, 55-57 Kitchener Street , Toowoomba QLD 4350"