2008 SUMMER CAMP ONLINE RESERVATION FORM

For American Express Cards

A $25 Non-Refundable Campsite Deposit fee is required to make your unit's 2008 Summer Camp Reservation at Camp Blue Heron - Riceboro, Georgia. Campsite Deposits are not a portion of the unit's total but in addition to the total fees.

Please carefully read and fill-out the required information below before submitting your payment.

Unit & Personal Information:

Unit #    Number Attending: Adults     Scouts

Council Name:

Council HQ City:

Scoutmaster Name:

Address 1:

Address 2:

City: State: Zip:

Home Phone:      Other Phone:

Email Address:

Campsite & Booking Information:

Our Unit would like to make a summer reservation for

at Campsite

Payments: 1 Campsite Deposit and Deposits per Scouts:

Payments for Extra Leaders or Adults:

Credit Card Type:     

Card Numbers:           

Expiration Month:      Expiration Year:

Name as it Appears on Card:

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