Camp Barney Medintz
2019 Deposit & Payment Plan

Please complete the information below for the person responsible for payment of camp fees.

First Name
Last Name
Home Phone (555-555-5555)
Cell Phone (555-555-5555)
Work Phone (555-555-5555)
Email Address
This payment form should be used for the following camper(s): Please provide the first and last name of each camper

Please provide billing address:

Address
City
State
Zip

Deposit:

Amount Selected will be charged per camper.
 $500
 $200 (This option is only available to current Marcus Jewish Community Center of Atlanta (MJCCA) members who are requesting financial assistance.)

Payment Plans:

All families (including those applying for Financial Assistance) must establish payment plan information.

 Full Payment I authorize you to charge my account for the balance in full on April 1 2019.

 Equal Installments (15th of the month) Charge me in equal monthly installments beginning the 15th of the month following registration acceptance per my payment selection below. All installment payments must be completed by April 15 2019.

Payment Options:

Please indicate how you would like us to collect payment for the deposit and payment plan. Payment information will be collected below.

 Credit card to pay deposit and payment plan
 EFT/checking account to pay deposit and payment plan
 Credit card to pay deposit and EFT/checking account to pay payment plan
 EFT/checking account to pay deposit and credit card to pay payment plan

 

Atlanta Resident Membership Renewal Policy:
Metro Atlanta residents (living within 40 miles of the MJCCA) are required to hold a current MJCCA membership. When registering, members acknowledge that an MJCCA membership is required throughout the entire program. If your membership renewal date occurs prior to or during your camper session, your membership will automatically renew at prevailing rates and dues will be charged to the credit card provided for registration on a monthly basis unless other payment arrangements have been made with the membership department prior to your registration. If a credit card is not provided, it is the member's responsibility to contact the membership department to make payment arrangements at 678.812.4060 or email membership@atlantajcc.org before we will process your camp registration.

 Please renew my summer membership.

Please note: we will use the same credit card provided for Camp Barney for your summer membership payment plan. Summer payment plan dates occur once a month from November 15 to April 15, 2019. You may view summer membership details here.

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