TGM Standing Order

TGM Standing Order

Applicable for Pole, Hip Hop and Funky Feels Contemporary
Client Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Class Name *
Declaration and Payment Details
I agree to the below payment commmitment. I understand that if my payment does not go through on the 1st of the month, my class registration is not guaranteed.
Length of commitment *
Billing Frequency Preference *
Last 4 digits of CC on file *
Client Signature *

Clear
Name of Signer *

First Name Last Name
Sign Date *

Year Month Day
Date
Should be Empty:

Declaration and Payment Details