Please charge my deposit for Camp Gan Israel in the amoount of $300 to my credit card listed below.

 Please charge my balance for Camp Gan Israel.

We charge Credit cards on the 1st and the 20th of each month, if you would like to break it down, let us know how in the comments.
Billing Information
Name
Child's Name:
Address:
City:
Province/State:
Postal Code/Zip:
Email Address:
Phone number:
Amount:

Comments: 

If you are tipping please specify amounts and to who: 
 
Payment Information
Credit Card:
Credit Card Number:
Expiration Date: /