Monthly Subscription Order Form - South African Karate Portal

Dojo Page Monthly Subscrption Order Form

MONTHLY SUBSCRIPTION*

Yes, I want the Monthly hosting and management fee of R70 p/m.

Name*

E-mail*

Tel*

Dojo Name*

List all dojos

Dojo’s Physical Address*

Karate Style*

Instructor Name & Surname*

Instructor Contact Number

Instructor/Admin E-mail*

“About Us” Information*

Class Times & Days*

Website

Dojo logo (Upload to attach)

Upload

Dojo Logo Image requirements: If you submit a custom image, it should be no loarger than 910px × 503px, and no bigger than 1MB.Allowed files: jpg, jpeg, gif, png, pdf.Rename your logo image to your dojo name. EG: dojoONE-logo.png If you DO NOT have a logo, your dojo name will be used.All payments can be made, via EFT, to: HM du PreezStandard BankBranch code: 205Acc nr: 10 080 210 862 Ref: Your Dojo Name

I have paid my R100 page creation fee*

Yes, I have paid my R100 page creation fee

I have emailed the proof of payment*

Yes, I have emailed the proof of payment to: mdp@karate-sa.co.za

Once your order has been received and the R100 page creation fee has been paid, your page will be created within 72 hours and sent for your approval, together with an invoice for the monthly amount of R70 (payable within 48 hours).