Summer School Payment Form
Please fill in this form to complete your payment
Dates You wish to Attend:
*
10th - 14th August
17th - 21st August
24th - 28th August
31st - 2nd September
My Products
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Summer Sessions (Ages 5-9yrs)
£
75.00
GBP
Quantity
1
2
3
4
5
6
7
8
9
10
Summer Sessions (Ages 10
£
75.00
GBP
Quantity
1
2
3
4
5
6
7
8
9
10
Summer Sessions (Ages 9-16yrs)
£
75.00
GBP
Quantity
1
2
3
4
5
6
7
8
9
10
Summer Sessions 31st-2nd Sept (Ages 9-16yrs)
£
45.00
GBP
Total
£
0.00
GBP
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Buyer Name
First Name
Last Name
Buyer E-mail
Childs Name
First Name
Last Name
Child's Date of Birth
-
Month
-
Day
Year
Date
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