Costume Fees | Sherry Martin Dance

Parent*

First Name Last Name

Email Address*

Phone*

How many dancers are you purchasing costumes for?*

Dancer 1*

First Name Last Name

Dancer 2*

First Name Last Name

Dancer 3*

First Name Last Name

Dancer 4*

First Name Last Name

Dancer 1 Costume Selection (by class)*

Dancer 2 Costume Selection (by class)*

Dancer 3 Costume Selection (by class)*

Dancer 4 Costume Selection (by class)*

Dancer 1 Costumes

Price: $0.00

Dancer 2 Costumes

Price: $0.00

Dancer 3 Costumes

Price: $0.00

Dancer 4 Costumes

Price: $0.00

Late Fee*

Price: $5.00

NY State Sales Tax

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Questions or Comments

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2020 Costume Fees Payment