Payment Note

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Payment Note

Period: -

State: active

Submit A Payment Note

Use the Payment Note Form below to send in a note for our records that you have paid any DKK fees. By doing so, we don't waste class time with parent notes and you help me get the books done faster.

New student enrollments - do not pay until your placement has been confirmed! Please check your name on our roll book. :)

Student Name
Email
Date Paid	Day Month Year
Amount Paid $
Receipt/Reference
Payment Method	Bank/Online Transfer (to ANZ bsb 016725 acc# 4859 15902) Cheque (made payable to: Dance Kix Karratha) Cash (please send in an envelope) Other (please specify) Other
Payment For? Or Other Details
Finished?	---> After clicking on "Submit Note", you will see the confirmation page unless there are red errors for you to fix above!