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WA-Dardanup 14th & 15th November Liberty clinic at Benjomar Park
Clinics & Camps
Clinic Registration
Step
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of
3
- Information
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Phone
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Clinic Registration
Price:
$ 0.00
Clinic Registration
Price:
Registration Type
Participant
Fencesitting
Number of Days
2 Days
Dates Attending
Please provide the dates you will be attending
Day 1 Attending
*
DD dash MM dash YYYY
Day 2 Attending
*
DD dash MM dash YYYY
Day 3 Attending
*
DD dash MM dash YYYY
Day 4 Attending
*
DD dash MM dash YYYY
Name
First
Last
Email
Mobile
Payment Method
Credit Card
AfterPay
To use AfterPay, please select the AfterPay option as Payment Method and our office will be in touch with you shortly to take the payment, Thank you
How much will you be paying today?
FULL AMOUNT
50% DEPOSIT
MINIMUM DEPOSIT
Amount Paid Today
remaining balance due 4 weeks prior to the event date
Amount Paid Today
remaining balance due 4 weeks prior to the event date
Card Transaction Fee of 1.6%
Price:
$ 0.00
Card Transaction Fee of 1.6%
Price:
$ 0.00
Total
$ 0.00
Payment Details
Cardholder Name
Card Details
Clinic Details
Start Date
14 Nov, 2026
End Date
15 Nov, 2026
AU State
VIC
Full Cost
$500
Fence Sitting
$132
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