Online Anatomy Lectures with Sue Hallas Sundays 14th February, 21st March and 2nd May 2021 Registration Form Name* First Last PhoneEmail* PLEASE CHECK YOUR INBOX FOR CONFIRMATION OF YOUR REGISTRATION. MAKE SURE YOU CHECK SPAM AND/OR JUNK FOLDERS TOO. Online Anatomy Lectures with Sue Hallas*Dates: Sundays - 14th February, 21st March & 2nd May 2021 Time: 3:30–5:30pm Cost: $50 for all 3 sessions Session topics: The chest – to include the heart and lungs The pelvis The limbs Price: $ 50.00 Total $ 0.00 How would you like to pay?*Credit CardOnline BankingNB A fee will be added for credit card payments. If you select 'Online Banking' you will be sent an email with IYNZ bank details - please check your In Box including Spam and/or Junk mail folders. Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name