Program Dāna

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Hidden Fields

Class Code

Class ID

Campaign ID

RandomSessionID

Program Details

Title

Start Date

End Date

Dates: tfa_50 - tfa_51

Instructor(s)

Teacher(s)

Test Teacher

Payment Details

Teacher Dana ($)

BCBS Dana ($)

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

Amount Due

Total Amount

Donation + Fee Covered

Billing Address

First Name

Last Name

Street Address

Address Line 2

(Optional)

City

State/Province

Country

Postal/Zip Code

Do not include special characters, spaces, or punctuation.

Country Code

Phone

Please enter a valid phone number, including the + and country code followed by the actual phone number. Do not include special characters, spaces, or punctuation. Example: +19783552347.

Payment

Payment Type

Credit Card

US Bank Account

Credit Card

Name on Card

Card Number

Do not include special characters, spaces, or punctuation.

CVV Code

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

Bank Account (ACH/eCheck)

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Contact Information

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Program Dāna

Teacher(s)

Deepening Practice,Building Community.

Deepening Practice,
Building Community.