Home ZUMBA CLASSES PURCHASE FORM STUDENT NAME AS PER ID CARD / PASSPORT STUDENT ID CARD / PASSPORT NO. GENDER NATIONALITY RESIDENCE ADDRESS POSTCODE STATE COUNTRY CONTACT NUMBER EMAIL ADDRESS MONTHLY (4 CLASSES) - RM120 / PAX OPTION 1 : PAYMENT RECEIPT (jpg file) OPTION 2 : PAYMENT RECEIPT (zip file, if more than one file) INSTRUCTIONS: Students are required to upload the payment receipt after purchasing the classes for registration. Registration form should be presented upon arrival on the first visit date. MESSAGE (OPTIONAL) Δ