JASWDC - Acceptiva

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STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Full Course

Qty

Description

Amount

Total

Beginner Kimono Dressing Class
JASWDC Member

$250.00

---

January 16, 23, 30 February 6, 13

Beginner Kimono Dressing Class
Non-JASWDC Member

$300.00

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January 16, 23, 30 February 6, 13

JASWDC Membership Levels

(You may apply for membership at the same time you register for classes. However, membership is not required for registering for classes.)

Qty

Description

Amount

Total

Ume

$60.00

---

Tsutsuji

$250.00

---

Kiku

$1,500.00

---

Student

$40.00

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(This membership is for students who are 23 years old and under.
JASWDC will ask you to provide a copy of your ID)

Total: $0.00

Thank you for registering for beginner kimono dressing classes.

Payer Information

Salutation: *

First Name: *

Last Name: *

Additional Name:

(Only for Family & Sustaining Memberships)

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home phone: *

Cell Phone: *

E-mail: *

A receipt will be e-mailed to this address.

Terms and Conditions: *

I have read and understand the conditions on the Monthly Wasodo Kimono Class flyer.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *