donateTEST19OCT2023

Test

Instructor(s): Test 1, Test 2, Test 3, Test 4

Dana*

Teacher Dana ($) BCBS Dana ($)

You have the option to help BCBS by agreeing to cover the cost of the transaction fees

First Name* Last Name*

Address 1* Address 2 (Optional)

Country* Postal Code*

City* State/Prov*

E-Mail* Phone*

Payment Type: Credit Card eCheck

Name on Card* Card Number*

CSV Code* Expiration Date*

I understand that this charge will appear as "The Barre Center" on my credit card.

We gladly accept: