Dance Payment 2 of 3
Dancer's Name
*
First Name
Last Name
Payee's Name
*
First Name
Last Name
Email
*
example@example.com
My Products
1 Class
$
145.00
Sibling's 1st Class
$
100.00
+2nd Class
$
92.00
+3rd Class
$
86.00
+ 4th Class
$
80.00
+ 5th Class
$
80.00
Sibling's 2nd Class
$
92.00
Sibling's 3rd Class
$
86.00
+Sat Team Ballet (2nd Class, no costume)
$
72.00
+Sat Team Ballet (3rd class, no costume)
$
66.00
+ Saturday Team Ballet (4th or more class, no costume)
$
60.00
Deadline Nov 15- Late Fee
$
10.00
Total
$
0.00
Submit
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