CTeen Camp Payments - Chabad.com.au

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CTEEN WINTER CAMP PAYMENT FORM
Camp: Sunday 6th July - Thursday 10th July

Cost:
$545 Early bird (before 9th June)
$685 Full Price

Please fill out the payment information below to pay for this years Cteen Winter Camp.
Parent Full Name*
First Name Last Name
E-mail For receipt of payment
Child Full Name*
First Name Last Name
Amount*

$545 AUD
Total

$0.00 AUD

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
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Expiration Month	Expiration Year

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