Animal Camp Payment Form

Final Payment MUST be completed by April 1st to avoid late fees

Name as it appears on Card *
Campers Name *
Card Type *	VISA MASTER CARD DISCOVER
Credit Card Number *
Expiration Date (mm/yy) *
Billing Zip Code *
Security Code *
My Tuition Payment is a: Deposit Partial Payment Final Payment (Balance Due)	Select All That Apply
Added to My Tuition Payment One Week Photo CD ($15 Additional) Two Week Photo CD ($25 Additional)
Add a Camp Store Credit - Enter Amount We Recommend $50 per week
I'm adding my Late Fees to This Transaction $50 after April 1 - Enter Amount
Total Amount to Charge Your Card *	Please Put the Total of Tuition + Photo CD's + Store Credit + Late Fees
Email Address *
Telephone Number*
Additional Information