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Nutcracker Registration Form
WPB T-shirt order
WPB Store
Nutcracker T-shirt 202(0)
Cost $15 each
Please choose size and style needed
(Last Day to order is Thursday Jan 28th)
*
Indicates required field
Student's Name
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First
Last
Email
*
Class/Level
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Intro to Ballet 1
Intro to Ballet 2/3
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Boys Class
Other
Check one.
Style A (Nutcracker Head)
*
Youth Small
Youth Medium
Youth Large
Adult XS
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
N/A
Size Needed
Style B (Clara w Nutcracker)
*
Youth Small
Youth Medium
Youth Large
Adult XS
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
N/A
Size Needed
For Additional t-shirts, specify style and size here
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Total Quantity
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How many of each?
Total Amount to be charged
*
$15 per t-shirt
Payment
*
Check ( to West Point Ballet)
Cash (Drop envelope in mailbox)
Card on File
New Card (enter below)
Name (as it appears on your credit card)
*
Account Number
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Expiration Date
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Security Code
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Billing Zip Code
*
By submitting my electronic signature, I understand that payments are non-refundable. I confirm my information is correct, and I authorize West Point Ballet to charge my card with the total amount due at this time, plus $3.00 processing fee.
E-signature
*
Full Name
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