YOUNG ARTISTS PROGRAM PAYMENT FORM Young Artist's Name* First Last Please only complete this payment form if you have been notified that your application was successful. Parent's Name* First Last Parent's Email* Parent's Contact Number*I would like to use a Sports Voucher for this program Yes No Please enter your Sports Voucher Number and Expiry DateVoucher NumberExpiry date Please also send a photo of your sports voucher to dso@cdu.edu.au Please select payment option*SemesterTermSemester with Sports VoucherTerm with Sports VoucherTotal $ 0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name
