Credit Card Payment

 

Below is the payment form for Cub Creek Science Camp

 

 

 

 

 

Type of Credit Card

Name as it appears on the credit card
Name of camper or campers this deposit / payment is being made for
Mailing address for credit card statement

(If this is the same as the home address on the registration form just provide your zip code)

Amount of payment / deposit (in dollars)
Contact Phone Number
Credit Card Number
Expiration Date
3 digit code on the back of your card

 

Final camp payment is due by April 1.  Check here if you would like us to charge your credit card for the final camp payment on April 1, 2010.  (and avoid late charges)

 

Put me on the automatic monthly payment plan.  After my initial deposit, charge my credit card on the 5th of each month for $100 for each week of camp that I have registered for and any remaining balance on May 1st.

 

 

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