Final Bas Mitzvah Payment Form Event Payment Form "*" indicates required fields Student Name* First Last Grade*Parent Name* Parent Cell Number*Parent Email* Date of Bas Mitzvah Event MM slash DD slash YYYY Please upload your diagaram of how you would like the room to be set up.Max. file size: 32 MB. The diagram should include the following: – Table Locations -Table sizes (8ft\6ft) – Which tables need chairsagreement I have uploaded a diagram of how I would like the event to be set up. I have emailed a diagram of how I would like the event to be set up to [email protected] Amount Due (Final Payment) – $250* For any questions regarding payment please reach out to [email protected]Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name
