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Yr 9 Excursion Payment Form

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benmoor2011
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0% found this document useful (0 votes)
22 views1 page

Yr 9 Excursion Payment Form

Uploaded by

benmoor2011
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

EXCURSION PAYMENT FORM FOR

PARENT/GUARDIAN

Name of Student: Year: Yr 9

Maritime Museum Fremantle and Portarosa Italian


Payment for (name of Excursion):
Restaurant

Amount: $40.00

I have enclosed cash


o
r
I have paid via direct deposit to on ______/______/______
Kalamunda Senior High School
BSB: 016-341 ACCT: 427 511 475
(reference: please put child’s name and year i.e. J Citizen Yr 9)
o
r
I have enclosed cheque/money order
o
r
Please debit my credit card (please note: AMEX or DINERS are not accepted)

Mastercard Visa

Card No:

Expiry Date: /

Signature: _____________________________________________________

Name on Card: _________________________________________________

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