Camp Kit And T-Shirt/patch Order Form - Girl Scouts Of Central Texas
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1Camp Kit and T-Shirt/Patch
Order Form
Girl Name:
________________________________________________
Camp Name:
________________________________________________
Camp Week Dates:
________________________________________________
Camp Session:
________________________________________________
Camp Kit (prices include tax)
Cost
$________
Camp Like a Girl
Emogi OMG
Horses Rock!
$43.29
$27.05
$32.46
Camp T-Shirt and Patch Combo (price includes tax)
$16.23
Youth Small
Youth Medium
Youth Large
$__________
Adult Small
Adult Medium
Adult Large
Adult XXL
Adult XXXL
Total to Charge:
$__________
Parent Name:
____________________________________________
Parent Address:
____________________________________________
Parent Phone:
____________________________________________
Parent Email:
____________________________________________
Payment Information
Credit Card
GS Cookie Dough
Check/Cash
Card Type:
Visa
MasterCard
Discover
AMEX
Credit Card #:
_____________________________________________________
Expiration Date:
__________________ CVV # __________________ Zip Code _________
GS Cookie Dough #: ______________________________________________________
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