Trial Class Registration – Martial House

Student's Name*
First Last
Gender*
NRIC (123A)*
Date of Birth*

Day
Month
Year
Phone*
Home Address*
Street Address ZIP / Postal Code
Email*
Enter Email Confirm Email
Programme*
Kungfu Tots (aged 4-6)*
Beginners (aged 6 & above)*
Competitive Preparatory Class*
Intermediate Session*
Competitive Taiji*
Wushu Classic (adults)*
Lifestyle Taiji (adults)*
Date of Trial Class*
DD slash MM slash YYYY
Other Session
Please contact our office to make arrangement for special request, and state the trial class details here. Take note training location might be different.
Any Wushu/Taiji experience?*
- No
- Yes
Remarks
Let us know where, how long and/or what you have learned before! So we are better able to prepare the trial class for you!
Promo Code (if applicable)
Special Promotion*
Price:
Usual Price: $40.00
Special Promotion*
Price:
Promo code has been applied successfully!
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
Terms & Conditions*
- I agree with the following terms & conditions.
Terms & Conditions:
1. The purchased trial class is non-transferable.
2. There will be no refund.
3. Purchased trial class will not be exchangeable for other products.
4. Standard terms & conditions apply.