First Name

Surname

Mobile Number

Date of Birth

Email Address

Which course would you like to apply for? Which course would you like to apply for?2 days Classic Fundamentals ( $2196)3 days Classic, Hybrid, Pre-made Fans & Business ($2746)2 days Russian Volume Lashes Mastery ($2196)5 days Classic to Volume Lashes Mastery ($3846)3 Days NALA Trainer Training ($3846)

Do you currently have a regular income? Do you currently have a regular income? Yes No Other Benefits ( Centrelink)

How often would you like your repayments? How often would you like your repayments?FortnightlyMonthly

How long would you like your payment plan to go for? How long would you like your payment plan to go for?6 months9 months12 months

Deposit Agreement Deposit Agreement I agree and understand that if I am successfully accepted for a payment plan, a minimum 10% Deposit is required for Training Courses when using PayRight & that this deposit will be debited from my provided card if my payment plan application is approved. I understand a SMS will be sent out to my stated number, which will enable me to finalise the payment plan. We will also correspond with you via email to talk about dates.