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BCMLA Payment Forms

Zaidy Tatty Event 5786

Parent Full Name*
First Name Last Name
E-mail*
Student 1 Full Name*
First Name Last Name
Student 1 Grade*
Student 2 Full Name
First Name Last Name
Student 2 Grade
Number of Zaidys/Tattys joining*
The cost of the event is $5 per person*
I'll be happy to help sponsor the Zaidy Tatty event this year!

$18$36$54

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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