Welcome to the Bat Mitzvah Club!

Price *

Join the Club - $ 250.00 + $ 0.00 Sales Tax

Total Amount

Bat Mitzvah Club Sign Up

Parent A Name:

Parent B Name

Daughters Name

Date of Birth

Daughter D.O.B *

Parent Email

Parent Phone *

Home Address *

City *

Postal Code *

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *