Junior Camp - Paid in Full - Green Supercamp Australia

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Junior Camp – 29th September to 5th October 2019 – Victoria

Payment of $2,595 today

Please note the customer information required below is about you the parent.

Customer Information
Parent Name*
First Last
Parent Email*
Parent Mobile Phone*
Child Name*
First Last
Child's Sex*
- Male
- Female
Child's Age at camp*
No. of Green SuperCamp programs attended previously*
State/Country*
Billing Information
Billing Name*
First Last
Billing Company
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Delivery Information
Is Your Delivery Address The Same As Your Billing Address?
- Yes
- No
Delivery Name*
First Last
Delivery Company
Delivery Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payment Information
201909 Junior Camp - Paid in Full
Price: $ 2,595.00
Early Bird $2,595.00
Credit Card

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Terms and Conditions*
Our Terms and Conditions
- I have read and agree to the terms and conditions