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Stand Up 2019 Camp Payment - Multi
Please complete payment information for the Stand Up Foursquare WA State Youth Camp
Friday 4 to Sunday 6 October 2019
MANJEDAl ACTIVITY CAMP-163 MANJEDAL RD KARRAKUP WA - GILWELL HALL
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Friday 4 to Sunday 6 Oct 2019
Person making this payment?
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Your answer
Church or Youth Group payment is for ?
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Your answer
Names of Registered Campers and individual amount you are paying ? Example - John Smith $180, Sue Smith $10
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Your answer
Names of Registered Volunteers and amount you are paying? Example - John Smith $180, Sue Smith $10
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Your answer
The total amount will be ?
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This needs to be paid by Friday 20/09/19 to reserve a place.
Your answer
Will you be paying by?
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If you are paying Direct Debit could you please write the BSB etc down now. Please include SU19 your initial and surname as a reference with your deposit. for example SU19SRedding
Direct Debit to Foursquare WA Youth Acc BSB 302162 ACC 0930792
Credit Card - if so please fill out section below. Credit cards and Aust debit cards accepted. (3% fee applies)
Other:
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