Fee: $575.00 ($300.00 Deposit Due May 31, 2010)
Camp Foundation Camp 2010
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
BILLING Method of Payment Amount Enclosed
$ Credit Card
Visa or Master Card Cardholder Name Card Number Expiration Date
$25 Cancellation Fee. No refunds 30 days before the event.
Please user your browser's PRINT button to print the completed form and either mail along with your check payable to "Steppin Up" to Terri Arnold, 186 County Road, East Freetown, MA 02717 or fax to 508-763-3184 with your credit card information.
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