Card Holder Details

Please enter the card holder details. Candidate details will be entered later.

First Name*

Last Name*

Email*

Telephone*

Company (if applicable)

Address Line 1*

Address Line 2

Town*

Zip Code*

Country*

Candidate 1 details

Same as billing

First Name*

Last Name*

Candidate Email*

Candidate Phone*

Candidates must be at least 17 years old

Candidate Age*

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I have read and agree to the Boxercise course terms and conditions
I confirm I am aware, that to participate on any Boxercise course via Zoom that I will require 1 set of Focus Pads and Gloves. Also, for the Boxercise Zoom and Advanced Boxercise Zoom course I will require someone to assist me for coaching purposes for part or all the course. Boxercise (3 hr's in the Afternoon)/Advanced Course (All Day). See t&c.

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