| |
| |
| |
Link to
the | |
| |
GROUP
FORM | |
| |
| |
|
|
Link to
the | |
YOUNG DANCER
Up to the Age of 18 who is Registering. |
| |
| |
|
► |
Following |
◄ |
DANCER ▪ BALLET TEACHER ▪ ACCOMPANYING ADULT
of Adult Age, who is Registering. |
| |
▼ |
|
|
I am Registering for the
DANCER
of Adult Age
Category |
|
|
I am Registering for the
BALLET TEACHER
Category |
|
|
I am Registering for the
ACCOMPANYING ADULT
Category |
|
| |
▼ | |
|
INFO |
MY
PERSONAL INFORMATION |
|
| Title |
| |
| First Name |
| |
| Last Name |
| |
|
Suffix |
| |
| |
| |
| Address Line 1 |
| or company name |
| Address Line 2 |
| optional |
| City |
| |
| State |
| or Province |
| Zip Code |
| or Postal Code |
|
Country |
|
| |
| |
|
Telephone |
| Area Code + No. |
| Fax |
|
Area Code + No. |
| Mobile Telephone |
| Area Code + No. |
| E-mail Address |
| |
| |
| |
| |
DANCER
& BALLET TEACHER: | |
| Date of Birth: |
| Day | Month | Year |
| Age |
| |
| Years in
Ballet |
| |
|
Ballet School |
| Name of ... |
|
Ballet Teacher |
| Name of ... |
| |
| |
|
DATES |
|
► TOUR
DATE I CHOOSE: |
|
| |
▼ |
|
|
111
Jul 10 |
|
1525
Jul 10 |
|
|
515
Aug 10 |
|
1929
Aug 10 |
|
|
212
Sep 10 |
|
1626
Sep 10 |
|
|
717
Oct 10 |
|
2131
Oct 10 |
|
|
414
Nov 10 |
|
1828
Nov 10 |
|
|
212
Dec 10 |
|
1626
Dec 10 |
|
|
616
Jan 11 |
2011 |
2030
Jan 11 |
2011 |
|
313
Feb 11 |
|
1727
Feb 11 |
|
|
313
Mar 11 |
|
Special Date > 1424
Mar 11 |
|
|
717
Apr 11 |
|
21
Apr1
May 11 |
|
|
616
May 11 |
|
1929
May 11 |
|
|
212
Jun 11 |
|
1626
Jun 11 |
|
|
717
Jul 11 |
|
2131
Jul 11 |
|
|
414
Aug 11 |
|
1828
Aug 11 |
|
|
111
Sep 11 |
|
1525
Sep 11 |
|
|
616
Oct 11 |
|
2030
Oct 11 |
|
|
313
Nov 11 |
|
1727
Nov 11 |
|
|
111
Dec 11 |
|
1525
Dec 11 |
|
| |
|
|
|
OPTION
1 |
►
I AM
REGISTERING AS AN INDIVIDUAL ◄ | |
| |
▼ |
|
| |
→
I am Registering as an Individual |
|
| |
▼ |
|
|
When
You Are Registering as an Individual, |
|
Will
You Be Accompanied by Someone? |
| |
▼ |
|
|
Yes,
I
Will Be Accompanied by Someone |
|
|
No, I
Will Not Be Accompanied by Someone |
|
| |
▼ |
|
|
If the
Young Dancer
Will Be Accompanied by Someone, |
| |
Please,
Give Name: | |
| |
▼ |
|
|
Please,
Give Name |
|
|
| |
|
|
|
OPTION
2 |
► I AM
REGISTERING AS A MEMBER OF A GROUP ◄ | |
| |
▼ |
|
|
→
I am Registering the as a Member of a Group |
|
| |
▼ |
|
| |
What Is
the Name of Your Group? | |
| |
▼ |
|
|
Name of
Your Group |
|
|
| |
|
|
|
OPTION
1 |
► I
AM
REGISTER FOR THE ESCORTED TOURS ◄ | |
|
|
▼ |
|
|
THE
HOTEL ARRANGEMENT I CHOOSE IS: |
| |
▼ |
|
|
→
DOUBLE OCCUPANCY, ROOM WITH TWIN BEDS |
|
| |
▼ |
|
| |
I
UNDERSTAND, | |
|
THE
PRICE PER PERSON COST FOR THE |
|
|
DOUBLE
OCCUPANCY, ROOM WITH TWIN BEDS |
|
| |
→
ARRANGEMENT IS $2,950 USD |
|
| |
|
|
|
OPTION
2 |
► I AM
REGISTERING FOR THE ESCORTED TOURS ◄ | |
| |
▼ |
|
|
THE
HOTEL ARRANGEMENT I CHOOSE IS: |
| |
▼ |
|
|
→
SINGLE ROOM, SINGLE SUPPLEMENT |
|
| |
▼ |
|
| |
I
UNDERSTAND, | |
|
THE
PRICE PER PERSON COST FOR THE |
|
| |
SINGLE
ROOM, SINGLE SUPPLEMENT | |
|
ARRANGEMENT IS $2,950 USD | |
|
PLUS
THE SINGLE SUPPLEMENT OF $550 USD |
|
|
→
TOTAL: 2,950 + 550 = $3,500 USD |
|
| |
|
|
|
OPTION
1 | |
►
METHOD OF PAYMENT ◄ | |
| |
▼ |
|
|
→
I CHOOSE TO PAY BY CREDIT CARD |
|
|
We Accept:
Visa ▪ MasterCard ▪ American Express ▪ Discover ▪
JCB ▪ eCheck ▪ PayPal |
| |
|
|
|
OPTION
2 | |
►
METHOD OF PAYMENT ◄ | |
| |
▼ |
|
|
→
I CHOOSE TO PAY BY BANK WIRE TRANSFER |
|
|
Bank
Wire Transfer: See Bank Account Information Page |
| |
| |
|
|
|
NOTES |
► WE
WELCOME YOUR NOTES AND MESSAGES◄ | |
| |
▼ |
|
|
Notes &
Messages |
|
any length |
|
|
| |
|
OPTION 1 |
►
PAYING BY CREDIT CARD ◄ | |
|
|
▼ | |
|
► STEP ONE: Once you click the Submit button, below,
the Confirmation Page will inform you that
INTERNATIONAL BALLET SOCIETY
has successfully received your Application. |
|
|
▼ | |
► STEP TWO: As you
click the Continue button
on the Confirmation Page,
you will arrive at the Page
that will Initiate the Paying Process.
Click the Pay Now
button
under to the arrangement you have selected. |
|
|
▼ | |
|
Visa ▪ MasterCard ▪ American Express ▪ Discover ▪
JCB ▪ eCheck ▪ PayPal |
|
|
| |
|
OPTION 2 |
►
PAYING BY BANK WIRE TRANSFER ◄ | |
|
|
▼ | |
► STEP ONE: Once you click the Submit button, below,
the Confirmation Page will inform you that
INTERNATIONAL BALLET SOCIETY
has successfully received your Application. |
|
|
▼ |
|
► STEP TWO:
On the
Confirmation Page,
please, click the
Bank Account Information,
instead of the Continue button.
Once we receive your Payment, we will
Contact You, ... etc. |
| |
| |
|
The Security and Privacy of your transaction is assured! |
