Summer UnCamp Payment "*" indicates required fields Payment InformationUse this form if you are paying UnCamp fees by credit card. If you prefer paying by check, mail to Bais Chana Women International 383 Kingston Avenue, Suite 248, Brooklyn, NY 11213 .This field is hidden when viewing the formApplication Fee $50.00 Application Fee Quantity* If you are paying your application fee today put "1" in the quantity box. If you have already paid your application fee put in "0". Price: $50.00 Quantity How much are you paying today?Three week full session: $3800 You can choose to make a full or partial payment towards your UnCamp fees at this time. If you need financial assistance, please contact our office at 718.604.0088 or email info@baischanana.org Bus Transportation to and from CampThe cost of the round-trip charter bus to and from the airport to the campsite is $80 and must be prepaid. Please selectRound TripOne wayDonationIf you would like to help other teens participate in the 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 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Is the cardholder the applicant?* Yes No Applicant's Name* First Last Cardholder's relationship to applicant.Cardholder's Email* CAPTCHA
