KMC Sydney Benefactor Membership Application

KMC Sydney Benefactor Membership

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Acceptance of Membership Terms & Conditions*

Please check the box below to acknowledge that you have read and accepted the terms & conditions of KMC Sydney membership. The membership terms & conditions can be found here.

I have read and accept the terms & conditions of membership

Personal Details

Name*

First Last

Email*

Phone*

Address*

Street Address City State / Province / Region Postcode

Billing Information

KMC Sydney Monthly Benefactor Membership Fee

Price:

When you submit this form $125 will be automatically charged to your credit card on this day each calendar month starting today. Please contact admin@meditateinsydney.org if you wish to cancel your membership.

Total

Credit Card*

Please enter your card details for your initial and recurring membership payments.

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Create your login for online classes

Complete this section if you don't already have a username and password.

Username

Password

Enter Password Confirm Password