Fusion Camp Instalment Payment Plan

Payment of the balance of your camp fees

Thank you for registering for the Fusion Youth Camp. You have indicated that you would like to pay the balance of your camp fees via instalments.

Please complete the form below to setup a direct debit of eight (8) weekly payments covering the balance of your camp fees.

PLEASE NOTE: The first payment will debit your account when you submit this form, with the remaining 7 payments debiting on the same day each week from that date.

Family Name *

Parents/Carer First Name *

Parent/Carer Mobile Number *

Parent/Carer Email *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Fusion Camp Fees

First Child: $230
Second Child: $200
Third Child: $170
Leader: $170

You can select multiple options

TOTAL Fusion camp Fees

You will need to manually calculate & enter the total using fee amounts shown above

Balance Payable after $50 deposit

Please enter the TOTAL fees LESS the $50 deposit you have already paid.

Weekly Payment Amount (Balance Payable to be paid over 8 weeks)

Please manually calculate & enter your Weekly payment amount (Balance Payable / 8)

By checking these boxes I understand & authorise that my card will be direct debited as follows: *

Number payments: Eight (8) equal payments
Frequency: Weekly
Date of First Payment: FIRST PAYMENT WILL BE TAKEN WHEN YOU SUBMIT THIS FORM
Weekly Amount: The amount shown in Total below
Any questions relating to these payments should be directed to MEC Bookkeeper: Lea Porter (Ph: 0402 267270)

Total (This amount will debit today with seven (7) further weekly payments of this amount)

$ 0.00

Stripe Credit Card *

Card

Name on Card

Payment of the balance of your camp fees

Contact

Member log in

© Maitland Evangelical Church