Course Payment Form 2023 Course Payment Form 2023 Type of Registration*New RegistrationExisting Martial House Athlete/StudentOthersActive Martial House Card Membership*YesNoMartial House Circle User ID* Kindly sign up for/renew your Martial House Card membership via the Martial House Circle. You are required to have your Martial House Circle ID to complete the payment.Student's Name* First Last NRIC – Last 4 Characters (123A)* Date of Birth* DD slash MM slash YYYY Contact Number*Home Address* Address ZIP / Postal Code Email* Enter Email Confirm Email Voucher Usage* Yes No Note: Kindly ensure you have activated your voucher(s) via your Martial House Circle account before proceeding to input the amount payable, less the voucher value, below. Package Type*Basic PackageDirector's ClassPrivate/Holiday Programmes/OthersBasic Package*Drop In (Validity: One-Time)4 Lessons (Validity: 5 weeks)8 Lessons (Validity: 10 weeks)20 Lessons (Validity: 25 weeks)40 Lessons (Validity: 25 weeks)Quantity of Package*1 x 4 Lessons (Validity: 5 weeks)2 x 4 Lessons (Validity: 5 weeks)3 x 4 Lessons (Validity: 5 weeks)4 Lessons (Validity: 5 weeks) – $200.00Course*Kungfu TotsCompetitive Preparatory ClassBeginnerIntermediateCompetitive WushuCompetitive TaijiWushu ClassicLifestyle TaijiKungfu Tots Session(s)* [MHT] Wednesday, 3:30pm – 5:00pm, Coach Kevan [MHT] Friday, 3:30pm – 5:00pm, Coach Cheau Xuen [MHT] Saturday, 10:00am – 11:30am, Coach Cheau Xuen [MHT] Saturday, 1:00pm – 2:30pm, Coach Geng Jui [MHT] Sunday, 8:30am – 10:00am, Coach Jennie [MHT] Sunday, 11:30am – 1:00pm, Coach Shawn Competitive Preparatory Class Session(s)* [MHG] Saturday, 11:30am – 1:00pm, Coach Shawn [MHQ] Tuesday, 5:00pm – 7:00pm, Coach Kevan [MHQ] Wednesday, 5:00pm – 7:00pm, Coach Cheau Xuen [MHQ] Thursday, 5:00pm – 7:00pm, Coach Kevan [MHQ] Saturday, 8:30am – 10:00am, Coach Jennie [MHQ] Saturday, 11:30am – 1:00pm, Coach Jennie [MHT] Tuesday, 5:00pm – 7:00pm, Coach Timothy [MHT] Friday, 5:00pm – 7:00pm, Coach Jennie [MHT] Saturday, 1:00pm – 4:00pm (2 x Lessons), Coach Yi Xiang [MHT] Saturday, 4:00pm – 7:00pm (2 x Lessons), Coach Geng Jui [MHT] Sunday, 2:30pm – 4:00pm, Coach Timothy Beginner Session(s)* [MHG] Saturday, 1:00pm – 2:30pm, Coach Shawn [MHQ] Saturday, 11:30am – 1:00pm, Coach Lian Sheng [MHQ] Sunday, 8:30am – 10:00am, Coach Cheau Xuen [MHQ] Sunday, 1:00pm – 2:30pm, Coach Cheau Xuen [MHQ] Sunday, 5:30pm – 7:00pm, Coach Lian Sheng [MHT] Monday, 5:00pm – 6:30pm, Coach Lian Sheng [MHT] Monday, 6:30pm – 8:00pm, Coach Kai Ting [MHT] Tuesday, 5:00pm – 6:30pm, Coach Jennie [MHT] Tuesday, 6:30pm – 8:00pm, Coach Jennie [MHT] Wednesday, 5:00pm – 6:30pm, Coach Kevan [MHT] Wednesday, 8:00pm – 9:30pm, Coach Shawn [MHT] Thursday, 5:00pm – 6:30pm, Coach Geng Jui [MHT] Friday, 5:00pm – 6:30pm, Coach Cheau Xuen [MHT] Friday, 7:00pm – 8:30pm, Coach Jennie [MHT] Saturday, 8:30am – 10:00am, Coach Cheau Xuen [MHT] Saturday, 11:30am – 1:00pm, Coach Cheau Xuen [MHT] Saturday, 2:30pm – 4:00pm, Coach Geng Jui [MHT] Saturday, 4:00pm – 5:30pm, Coach Timothy [MHT] Saturday, 5:30pm – 7:00pm, Coach Timothy [MHT] Sunday, 8:30am – 10:00am, Coach Shawn [MHT] Sunday, 10:00am – 11:30am, Coach Shawn [MHT] Sunday, 10:00am – 11:30am, Coach Jennie [MHT] Sunday, 1:00pm – 2:30pm, Coach Timothy Intermediate Session(s)* [MHG] Saturday, 10:00am – 11:30am, Coach Shawn [MHQ] Saturday, 10:00am – 11:30am, Coach Jennie [MHQ] Saturday, 5:30pm – 7:00pm, Coach Lian Sheng [MHQ] Sunday, 10:00am – 11:30am, Coach Cheau Xuen [MHQ] Sunday, 4:00pm – 5:30pm, Coach Lian Sheng [MHT] Sunday, 11:30am – 1:00pm, Coach Timothy Competitive Wushu Session(s)* [MHQ] Monday, 7:00pm – 9:00pm, Coach Kevan [MHQ] Friday, 7:00pm – 10:00pm (2 x Lessons), Coach Kevan [MHQ] Friday, 7:00pm – 10:00pm (2 x Lessons), Coach Lian Sheng [MHQ] Saturday, 8:30am – 11:30am (2 x Lessons), Coach Kai Ting [MHQ] Saturday, 2:30pm – 5:30pm (2 x Lessons), Coach Kai Ting [MHQ] Saturday, 7:00pm – 10:00pm (2 x Lessons), Coach Kevan [MHQ] Sunday, 10:00am – 11:30am, Coach GuangYao [MHQ] Sunday, 11:30am – 1:00pm, Coach GuangYao [MHQ] Sunday, 1:00pm – 4:00pm (2 x Lessons), Coach Lian Sheng [MHT] Monday, 7:00pm – 9:00pm, Coach Lian Sheng [MHT] Tuesday, 7:00pm – 9:00pm, Coach Timothy [MHT] Wednesday, 7:00pm – 9:00pm, Coach Kevan [MHT] Thursday, 7:00pm – 9:00pm, Coach Kai Ting [MHT] Friday, 7:30pm – 9:30pm, Coach GuangYao [MHT] Sunday, 4:00pm – 7:00pm (2 x Lessons), Coach Timothy Competitive Taiji Session(s)* [MHQ] Saturday, 1:00pm – 2:30pm, Master Leo & Coach Jessen [MHQ] Saturday, 2:30pm – 4:00pm, Master Leo & Coach Jessen [MHQ] Sunday, 1:00pm – 2:30pm, Master Leo & Coach Rui Ling [MHQ] Sunday, 2:30pm – 4:00pm, Master Leo & Coach Rui Ling Wushu Classic Session* [MHQ] Monday, 8:00pm – 9:30pm, Master Leo & Coach Shawn Lifestyle Taiji Session* [MHQ] Tuesday, 8:00pm – 9:30pm, Master Leo & Coach Jessen Director's Class Session(s)* [MHQ] Wednesday, 7:00pm – 9:00pm, Coach Wen Yeow, Coach Yi Xiang & Coach Lian Sheng [MHQ] Saturday, 7:00pm – 9:00pm, Coach Wen Yeow, Coach Yi Xiang & Coach Lian Sheng [MHQ] Sunday, 7:00pm – 9:00pm, Coach Wen Yeow, Coach Yi Xiang & Coach Lian Shengm Input Amount Payable* Total $ 0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Terms & Conditions* I agree with the following terms & conditions. Terms & Conditions: 1. The purchased package is non-transferable. 2. There will be no refund. 3. Purchased package will not be exchangeable for other products. 4. Standard course terms & conditions apply.Remarks (if any) Δ