Lord Somers Camp & Power House - Big Camp 2019 Payment Plan

It is one of the core values of Lord Somers Camp and Power House that no one be turned away because of inability to pay. Payment plans are aimed to support applicants to still be able to participate in our programs through financial difficulty.

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* 1. Full Name

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* 2. Contact Number

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* 3. Email address

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* 4. Program

Lord Somers Camp (BCB19)

Lady Somers Camp (BCG19)

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* 5. Payment Plan Amount
(Big Camp Fee: $575.00)

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* 6. I will pay installments of the fee above on the following dates:
(e.g. 23/10/2017 - $25)

(NB: all payments must be finalised by the end of the month that the program occurs in)

Date 1, Amount

Date 2, Amount

Date 3, Amount

Date 4, Amount

Date 5, Amount

Date 6, Amount

Date 7, Amount

Date 8, Amount

Date 9, Amount

Date 10, Amount

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* 7. Payment plans are to be approved by Vikki Deak (Programs & Activities Manager).

I understand that if I come into any difficulties paying on the above dates, all I need to do is call the LSCPH office to reschedule payments.

T: 03 9510 7066 E: info@lordsomerscamp.org.au

Yes

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* 8. I agree that this Payment Plan is to be made with Lord Somers Camp and Power House for the payment of the program fee in the structure disclosed above until the fee is paid in full.

Yes

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* 1. Full Name

Question Title

* 2. Contact Number

Question Title

* 3. Email address

Question Title

* 4. Program

Question Title

* 5. Payment Plan Amount (Big Camp Fee: $575.00)

Question Title

* 6. I will pay installments of the fee above on the following dates:(e.g. 23/10/2017 - $25)(NB: all payments must be finalised by the end of the month that the program occurs in)

Question Title

* 7. Payment plans are to be approved by Vikki Deak (Programs & Activities Manager). I understand that if I come into any difficulties paying on the above dates, all I need to do is call the LSCPH office to reschedule payments.T: 03 9510 7066 E: info@lordsomerscamp.org.au

Question Title

* 8. I agree that this Payment Plan is to be made with Lord Somers Camp and Power House for the payment of the program fee in the structure disclosed above until the fee is paid in full.

* 5. Payment Plan Amount
(Big Camp Fee: $575.00)

* 6. I will pay installments of the fee above on the following dates:
(e.g. 23/10/2017 - $25)

(NB: all payments must be finalised by the end of the month that the program occurs in)

* 7. Payment plans are to be approved by Vikki Deak (Programs & Activities Manager).

I understand that if I come into any difficulties paying on the above dates, all I need to do is call the LSCPH office to reschedule payments.

T: 03 9510 7066 E: info@lordsomerscamp.org.au