Camp Renewal Form

Camp Information

City:
 State:
 Zip:
Winter Phone:
 Fax:
 Email:
 
Summer Address (if different from above):
City:
 State:
 Zip:
Summer Phone:
Fax:
 Email:

**** Please be sure to give us updated email information for 2011
(Billing and other mailings will be sent to this address)

Camp Membership (Camp Name)

Membership Fee
(From schedule on previous page)

 

Other Individual Members at $15.00 each
City:
 State:
 Zip:
Phone:
 Email:
Name:
 Address:
City:
 State:
Zip:
Phone:
 Email:

 

Additional camp listings in the VCA brochure and website at $15.00 each:


Camp Name


Camp Name


Camp Name


Contact person and email


Contact person and email


Contact person and email

(send a separate email for any additional listings or individuals beyond those listed above)

Fee Worksheet

(1) CAMP MEMBERSHIP FEES = $
(2) INDIVIDUAL FEES x $15.00 each = $
(3) ADDITIONAL CAMP LISTINGS x $15.00 each = $
TOTAL MEMBERSHIP FEES YOU ARE PAYING TODAY (1 + 2 + 3) = $

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