Course Payment Form Course Payment Form 2021 Student's Name* First Last Birthdate* DD slash MM slash YYYY NRIC (123A)* Contact Number*Home Address* Address ZIP / Postal Code Email* Enter Email Confirm Email Package Type*Basic PackageUnlimited PackagePrivate/OthersMartial House MembershipBasic 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)Unlimited Package*4 Weeks (Max Hold: 1 Week)Programme*Kungfu TotsCompetitive Preparatory ClassBeginnersIntermediateCompetitive WushuElite WushuCompetitive TaijiWushu ClassicLifestyle TaijiKungfu Tots Session* Saturday, 1:00pm - 2:30pm Sunday, 11:30am - 1:00pm Competitive Preparatory Class Session* Tuesday, 5:00pm - 7:00pm Thursday, 5:00pm - 7:00pm Saturday, 8:30am - 10:00am Saturday, 10:00am - 1:00pm (2 Sessions) Saturday, 11:30am - 2:30pm (2 Sessions) Saturday, 1:00pm - 2:30pm Saturday, 2:30pm - 5:30pm (2 Sessions) Sunday, 5:30pm - 7:00pm Beginners Session* Tuesday, 5:00pm - 6:30pm Tuesday, 7:00pm - 8:30pm Thursday, 5:00pm - 6:30pm Thursday, 7:00pm - 8:30pm Friday, 5:00pm - 6:30pm Saturday, 11:30am - 1:00pm Saturday, 4:00pm – 5:30pm Saturday, 5:30pm - 7:00pm Sunday, 8:30am - 10:00am Sunday, 10:00am - 11:30am Sunday, 5:30pm - 7:00pm Intermediate Session* Saturday, 4:00pm - 5:30pm Saturday, 5:30pm - 7:00pm Sunday, 8:30am - 10:00am Competitive Wushu Session* Monday, 5:00pm - 7:00pm Monday, 7:00pm - 9:00pm Tuesday, 5:00pm - 7:00pm Tuesday, 7:00pm - 9:00pm Wednesday, 5:00pm - 7:00pm Thursday, 5:00pm - 7:00pm Thursday, 7:00pm - 9:00pm Friday, 5:00pm - 7:00pm Friday, 7:30pm - 9:30pm Saturday, 8:30am - 11:30am (2 sessions) Saturday, 2:30pm - 5:30pm (2 sessions) Saturday, 7:00pm - 10:00pm (2 sessions) Sunday, 10:00am - 1:00pm (2 sessions) Sunday, 1:00pm - 2:30pm Sunday, 2:30pm - 5:30pm (2 sessions) Elite Wushu Session* Wednesday, 7:00pm - 9:00pm Friday, 7:00pm - 10:00pm (2 sessions) Competitive Taiji Session* Saturday, 1:00pm - 4:00pm (2 sessions) Sunday, 1:00pm - 4:00pm (2 sessions) Wushu Classic Session* Monday, 8:00pm - 9:30pm Saturday, 10:00am - 11:30am Lifestyle Taiji Session* Tuesday, 8:00pm - 9:30pm Input Amount Payable* Current Active Martial House Membership*YesNoMartial House Card No.* Membership Price*New Member (+$58)Renewal (+$38)Membership Price*New Member (+$58)Renewal (+$38)Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 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)