Request Form

G9 REQUEST FORM

Please ensure to add same information you added in the registration form

Registration Number

Phone Number

Student's First Name

Student's Last Name

If you do not have a registration number

Email Address

Class Location

Class Type

Dance Form

Please select the most appropriate option : Quitting Class & Stop PaymentPause Payment For SometimeGoing On Vacations & Pause PaymentNone of The Above

If you don’t receive an email copy of this form (check Junk/Spam folder) within 30mins after the submission, please contact us.

I understand it's my sole responsibility to ensure my request form has been successfully received by G9 Bhangra (G9 Media Inc.), either via call or message to 226-484-1007

Message (Explain Request Details e.g. Dates for Stopping Payment)