Adult Camp Payment Form

Registrant Name *

First

Last

Registrant Email *

Registrant Phone *

Registrant Registrant Commerce

Payment Options *

General Registration – $625.00

PayPal Payment: A processing fee is included in the PayPal payment amount to cover transaction fees. Payment by check is available to avoid additional fees.

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name