Bus Reservation and Payment Use this form to reserve a spot on the bus: "*" indicates required fields Applicant's Name* First Last To pay by Zelle, Venmo or Paypal, send to info@baischana.org. To pay by check, please mail to: Bais Chana Women Int’l 383 Kingston Avenue, Suite 248, Brooklyn, NY 11213Bus Fee*Please Select$80 Roundtrip: from the airport to the camp on July 1; from the camp to the airport on July 21$40 One way: from the airport to the camp on July 1$40 One way: from the camp to the airport on July 21DonationTo help another teen experience the magic of UnCamp, please add your donation here.Donation Amount Credit Card InformationTotal Credit Card* American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Is the cardholder the applicant?* Yes No Cardholder's relationship to applicant.Cardholder's Email* Cardholder's Phone*CAPTCHA
