CTeen Camp Payments - Chabad.com.au

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CTEEN WINTER CAMP PAYMENT FORM
Boys 27 June - 1 July
Girls 2 - 6 July
Cost: $460 full price
$410 early bird

Please fill out the payment information below to pay for this years Cteen Winter Camp.
Please note the nominated Credit Card below will be charged prior to Camp. If at any stage due to Covid restrictions the Camp cannot go ahead you will receive a full refund immediately.
Parent Full Name

First Name Last Name
Paying for:

Boys Camp Girls Camp
Amount:

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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