deyin payment form

Deyin Membership Application/Renewal

Please enter the details below, then click 'Continue' to go to the Confirmation page. Entry titles marked with an asterisk * are required.

If you are a member, you can log in to enable quick entry of your details

Enter PLAIN TEXTS ONLY, NO special characters such as "", &, %, etc into the form,
it will cause payment errors!

Your Details

First Name *

Last Name *

Email *

Phone *

Address 1 *

Address 2

Town

Region/County

Post Code *

Country

(if in England, please leave blank)

Gender

Name of Your Teacher

Training Period

Number of years/months you have been training
or the month and year your training began

Additional Info

Payment Details

Membership Type *

Please note all memberships expire on 30th
September each year. Members are asked to
renew their membership each September

Payment Method *

Bank Transfer Details
Bank: TSB
Name: Deyin Event Management Ltd
Sort Code: 772710
Acc. No: 00062005
IBAN: GB84TSBS77271000062005
BIC: TSBSGB2AXXX

Please use your Name as the Transfer Reference
and please inform us once payment is made

Payment Total £

Continue to Confirmation

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type|info_line||name|no_specialchar||title|<p><div style=' font-size: 12pt; font-weight: bold;'> <center> Enter <u>PLAIN TEXTS ONLY</U>, <U>NO</U> special characters such as "", &, %, etc into the form, <br/>it will cause payment errors!|||type|info_line||name|your_details_heading||title|<div style='color: #000; font-size: 10pt; font-weight: bold; margin-top: 2pt; text-decoration: underline;'>Your Details</div>|||type|textline||name|first_name||title|First Name||maxlength|32||required|1|||type|textline||name|last_name||title|Last Name||maxlength|32||required|1|||type|textline||name|email||title|Email||maxlength|60||required|1|||type|textline||name|phone||title|Phone||maxlength|30||required|1|||type|textline||name|address1||title|Address 1||maxlength|60||required|1|||type|textline||name|address2||title|Address 2||maxlength|60|||type|textline||name|town||title|Town||maxlength|40|||type|textline||name|region||title|Region/County||maxlength|30|||type|textline||name|postcode||title|Post Code||maxlength|32||required|1|||type|textline||name|country||title|Country||maxlength|30|||type|info_line||name|country_info||title|<em>(if in England, please leave blank)</em>|||type|select_text||name|gender||title|Gender||selections|0.00==female&&0.00==male|||type|textline||name|teachers||title|Name of Your Teacher||maxlength|30|||type|textline||name|training_period||title|Training Period||maxlength|20|||type|info_line||name|note_01||title|<div style='color: #0000ff; font-style: italic;'>Number of years/months you have been training<br />or the month and year your training began</div>|||type|textarea||name|comment||title|Additional Info|||type|info_line||name|payment_heading||title|<div style='color: #000; font-size: 10pt; font-weight: bold; margin-top: 12pt; text-decoration: underline;'>Payment Details</div>|||type|select||name|mem_type||title|Membership Type||required|1||selections|20.00==New Membership - £20&&20.00==Membership Renewal - £20&&60.00==Deyin Instructor Renewal - £60|||type|info_line||name|note_02||title|<div style="font-weight: bold; color: #ff0000;">Please note all memberships expire on 30th<br />September each year. Members are asked to<br />renew their membership each September</div>|||type|select||name|payment_method||title|Payment Method||required|1||selections|0.00==Credit Or Debit Card / Stripe&&0.00==Bank Transfer|||type|info_line||name|spacer_0||title|<div style='height: 1px;'></div>|||type|info_line||name|deyin_bank_transfer_info||title|<b>Bank Transfer Details</b><br/>Bank: TSB<br />Name: Deyin Event Management Ltd <br />Sort Code: 772710<br />Acc. No: 00062005 <br/>IBAN: GB84TSBS77271000062005 <br/>BIC: TSBSGB2AXXX|||type|info_line||name|transfer_inform_us||title|<em style='color: #00f;'>Please use your Name as the Transfer Reference<br />and <u>please inform us</u> once payment is made</em>