Camp Veritas – Remaining Balance Payment Total cost (including room, meals, tshirts, and water bottles) is $400. $100 deposit is due by our Camp Meeting Wednesday, May 12 at 7:30pm. Child's Name* First Name Last Name Parent/Guardian Name* First Name Last Name Parent/Guardian Telephone Number*Parent/Guardian E-mail Address*(Will also be used for payment purposes) Enter Email Confirm Email Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Price*Please enter the remaining amount you wish to pay - example $300.00 Total $0.00 If the total amount due to be paid is correct, please click submit and you will be redirected to our account to submit your payment information. You can pay by logging into your personal paypal account to pay or by selecting to pay with your credit or debit card. You do not need to create a paypal account. You must enter your information and submit on our paypal page or your payment will not be received. Thank you and God bless!PhoneThis field is for validation purposes and should be left unchanged.