Clone of Camp LLL Gift Certificate Form

Gift Certificate Form for the 2023 Camp Season
Purchaser Name*

First Name Last Name
Purchaser's Email*
example@example.com
Purchaser's Phone Number*

Area Code Phone Number
The cost for one camper is $400 per week. Discounts are available for additional campers living within the same household.

Gift Certificate Amount*

USDDescription

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Camper Name (Optional)

First Name Last Name
Camper Name (Optional)

First Name Last Name
2023 Week (Optional)

Week #1: June 25 - July 1Week #3: July 9 - 15Week #4: July 16 - 22Week #5: July 23 - 29Week #6: July 30 - August 5
Notes
Should be Empty: