Donation Form
Thank you for your generosity to Camp Assurance!
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
I would like to receive regular updates from Camp Assurance
Yes, please
Phone Number
*
Donation Category
*
Please Select
Duplex Cabins
Staff Home
General Fund
Camper Scholarship Fund
Resident Staff Support
Summer Staff Scholarship
Would you like this donation to benefit a specific individual?
*
Please Select
Yes
No
Specify an individual you would like to benefit:
*
I would like to receive the weekly praise and prayer request email for the Family of Camps team. (June 9-August 2)
Yes Please!
Notes
Donation Amount
prev
next
( X )
USD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Submit
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