Recital Program Advertisement Form

Dancers Name

First Name Last Name
Payment

Please make your CHECK PAYABLE TO: Dance Factory.

Mailing Address:

Dance Factory Dazzlers

104 East Knapp Ave.

Edgewater, Fl 32132

Business Hours: Mon. - Fri. 4 - 8PM

Or Pay by Venmo App.

@Dancefactorynsb

https://account.venmo.com/pay
My Products
prev next ( X )
Tuition / solo $ 165.00
Tuition / Solo

Costume Payment / 2 $ 122.48
Costume Payment

Costume / 1 $ 117.15

Family Tuition Unlimited $ 210.00
Tuition

Monthly $ 60.00
1 class / pre month

Monthly 2 classes $ 90.00
2 classes/ per month

Monthly 3 classes $ 115.00
3 classes / per month

Additional add on classes $ 10.00
Add a class on to team tuition

Team Tuition Monthly $ 125.00
Monthly tuition for team

Total $ 0.00

Payment Methods

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform