CNW Down Payments

Junior Camp (July 8-13)
Preacher Scott Sivnksty
Early Registration of $245 by May 22

Senior Camp (August 5-10)
Evangelist Dave Kistler
Early Registration of $245 by May 22

Church Sponsor's Name

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Primary Phone Number

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Email

*

This address will receive a confirmation email

Church Coming With

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Please select one option.

Apple Valley Baptist - Wenatchee Bethel Baptist - Salem Bible Baptist - Everett Bible Baptist - Port Orchard Bible Believers Baptist - Hillsboro Central Baptist - Bend Charleston Community Baptist - Coos Bay Cornerstone Baptist - Vancouver East Hill Baptist - Kent Faith Baptist - Chehalis Faith Baptist - Grants Pass Fellowship Baptist - Arlington First Baptist - Fossil First Baptist of Sedro Woolley Friendship Baptist - Prosser Galilee Baptist - Kent Grace Baptist - Prineville Grace Baptist - Rochester Greater Portland Baptist Heritage Baptist - Salem Lighthouse Baptist - Renton Mountain Highway Baptist Church Monroe Baptist Napavine Baptist Northwest Baptist - Port Orchard Ocean Breeze Baptist Open Door Baptist - Lynnwood Open Door Baptist - Troutdale Orting Community Baptist Post Falls Baptist Summerville Baptist Temple Baptist - Lacey Timberline Baptist West Seattle Baptist Church Westside Baptist - Eugene Other

Which Camp?

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Please select one option.

Junior Camp Senior Camp

List the full names of the camper(s) for whom the payment is to be applied.

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Payment

Camper Down Payment Options

1 Camper ($51.80) 2 Campers ($103.60) 3 Campers ($155.40) 4 Campers ($207.20) 5 Campers ($259) 6 Campers ($310.80) 7 Campers ($362.60) 8 Campers ($414.40) 9 Campers ($466.20) 10 Campers ($518) 11 Campers ($569.80) 12 Campers ($621.60) 13 Campers ($673.40) 14 Campers ($725.20) 15 Campers ($777) 16 Campers ($828.80) 17 Campers ($880.60) 18 Campers ($932.40) 19 Campers ($984.20) 20 Campers ($1036)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Junior Camp (July 8-13)
Preacher Scott Sivnksty
Early Registration of $245 by May 22

Senior Camp (August 5-10)
Evangelist Dave Kistler
Early Registration of $245 by May 22

Please Fix the Following

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