Donation Form
Type of Donation/Payment:
Please select...
Donation
Donation towards a New Home for Camp Dream
Sponsor a Camper
Summer Camp Payment
Camper Name:
Kind of Donation:
Recurring Monthly Donation
One-Time Donation
Start Date (any day after today)
One-Time Dollar Amount
$800 will support a child for one session of camp.
Monthly Dollar Amount
Tribute Details (if applicable)
Type of Tribute:
In Memory Of
In Honor Of
Tribute Name:
Tribute Additional Notes
Contact Information
First Name:
Last Name:
Address:
City:
State/Province:
Zip/Postal Code:
Mobile Phone:
Email:
Employer (optional):
Does your employer have a matching gift program?
Yes, I will submit the matching gift information.
Yes, I will send you the information you need to apply for the matching gift.
I don't know, but I'll ask!
No
Comments:
Payment Information (Visa, MasterCard, American Express, and Discover Cards accepted)
Name on Card:
Card Number:
Expiration Date: MM
YY
Code
Billing Email:
iATS Details (hidden)
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Contact Information