Donation Form

Thank you for supporting the Richard Chernov Scholarship Fund and for helping send young kids to camp. Please fill out the below form to make your gift.

* Required Fields

Donation

Amount

Contact Information
* First Name
* Last Name
Company Name
* Address
Address 2
* City
* State/Province
* Zip/Postal Code
Home Phone
Cell Phone
Work Phone
* Email
Donation Details

Help Cover Credit Card Fees
Please check "Yes!" if you can add 3% to your gift to cover credit card fees.
Yes! I want $0.00 to go to Camp For All Kids and I will donate $0.00. No. I will donate $0.00 and Camp For All Kids will cover the credit card fees.

Payment Information
Payment Options

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

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