Dancing Wheels Community Programs Payment Form Dancing Wheels Community Programs Payment Form Please note that a service fee of 4% applies to credit card transactions. Name(Required) First Last Email(Required) Phone Number(Required)Payment Amount(Required) $125 $200 Other Other Payment Amount A specific program payment amount other than the rates listed above.Credit card processing fee Price: $0.00 Credit or Debit Card(Required) TotalCommentsThis field is for validation purposes and should be left unchanged.
