Invoice

From:

811 S. Rogers Street
Unit 2
Pooler, Georgia 31322

[email protected]
(912) 748-7111

Invoice Number INV-0005
Order Number 3907
Invoice Date September 13, 2020
Total Due $75.00
Billing address
Parker Bass
816 South Main Street
Statesboro, GA 30458
Hrs/Qty Service Rate/Price Sub Total
1Color Belts - September 25, 2020
First Name: Parker ($0.00)
Last Name: Bass ($0.00)
Rank Testing For: karate-1st-red ($0.00)
Test Date: Color Belts - September 25, 2020 ($0.00)
Do you practice at home? : yes ($0.00)
How many days a week do you practice at home?: 3 ($0.00)
How long do you practice at home?: 20 ($0.00)
Please list 3 areas that you have improved in since you started in our program:: 1. 2. 3. ($0.00)
Please list 3 areas that you would like to make improvements on:: 1. 2. 3. ($0.00)
Please list 3 actions that you need to take in order to make these improvements:: 1. 2. 3. ($0.00)
I would like to have a conference regarding my training goals.: no ($0.00)
Please send me information regarding Private Lessons.: yes ($0.00)
$75.00$75.00
Subtotal:$75.00
Payment method:Pay via Invoice
Total:$75.00