Make a Payment - Camp Burgess & Hayward

Make a Payment

How it works:

Use this form if you have already registered your camper and would like to make a quick payment. After submitting this payment you will be taken to a confirmation page outlining your choices. If you are NOT taken to this page following submission of the payment you MAY NOT have been successful, and may need to repeat the procedure. If this happens, please know that this system is e-mail based, so your card will not be charged twice. If you need a confirmation of receipt you may contact our camp office at (508) 428-2571 and we will confirm this for you.

* = Required Field

This site is secured by

Season of Summer 2008

South Shore YMCA Member ID# (preferable if you have it)

Campers First Name:*

Campers Last Name:*

Middle Initial:

Billing Name

Gender:*

First Name:*

Last Name:*

Email:*

What type of credit card would you like to use?*

Enter the Credit Card Number:* (1234-1234-1234-1234) or (1234-123456-12345) amex

The Expiration Date:* (mm/yy)

Security Number:* (CVV2# explain?)

Program Payment Amount      (session/class/etc) - if applicable
                                              +
Trading Post Deposit Amount (Camp Store) - if applicable
                                              +
Campership Donation            Thank You (not intended for phoneathon payments)
                                              =
Total Payment Amount:*    (Amount to charge to this card)

Special Instructions:

If you did not enter a member ID# please put session(s) here to ensure proper credit.