AuKoShiMo Professional Training Program Intensive Training Preliminary Registration Form

Full Name Full address: Telephone

 

E-mail: Desired Location:

Dates which you will be able to attend:

 

 

Course which you plan to attend: Price excepting to be pay:

A none-refundable 10% deposit is required. This registration is not the final until all arrangements are made by you and us and we both agreed to all dates and plans. We will make a charge of 10% to charge card which will be credited to your account.

How would like to pay the 10% deposit ?

Visa/Master Card No: Expiration CVV 3 digits:

 

If you wish to make a payment using Paypal, send your payment to: paypal_au@aukoshimo.com