DLC Payment Form

DeMolay Leadership Camp Registration

Camp Sheppard, WA
Camper Name*

First NameLast Name
Payment submission: only if you have already submitted your registration
How would you like to make your payment?*

Pay by mailPayPal
Event Name
Thank you {name5},

If you are ready to submit your payment you can submit a check to:

PNW DLC
c/o Blaine Fritts - Registrar
5205 117th Street SE
Everett, WA 98208
Select registration option
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DLC Registration - No Scholarship$400.00

DLC Registration - $50 Scholarship$350.00

DLC Registration - $100 Scholarship$300.00

DLC Registration - $150 Scholarship$250.00

DLC Registration - $200 Scholarship$200.00

DLC Registration - $250 Scholarship$150.00

DLC Registration - $350 Scholarship$50.00

DLC Early Arrival ($25) - Permission Required$25.00
For those campers arriving early

Quantity
Item subtotal:$0.00

Subtotal $0.00Shipping $0.00Total $0.00
Should be Empty: