International Youth Ballet Festival 2017 **Credit/Debit Card Payment**

Participant Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Participation Fees

Quantity
Price
Total
Audition Fee

(DVD or YouTube Link)

X
$
40.00=
$
0

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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