Awareness Wristbands
for Camp Courageous of Iowa		 Camp Courageous of Iowa

Camp Courageous of Iowa Wristbands are a great way to raise awareness of the camp and to help support it at the same time. A real win-win situation.

Use the secure form below to order your Camp Courageous of Iowa wristbands. All proceeds go to benefit Camp Courageous of Iowa.
Wristband Secure Order Form:
*Quantity to Order
 @ $1.00 each
Shipping
 ($1 for every five bands)
Donation
 (optional donation to the camp)
Grand Total
 
General Information:
*First Name
* Last Name
  (name as it appears on your credit card)
*Mailing Address
  (address at which your credit card statements are sent)
Address 2
* City
* State
* Postal Code
Country
* E-mail
    Very important. Make sure it is correct.
  We may need to confirm this data via E-mail.
  Your information will NEVER be sold or given away.
Daytime Phone
 (optional)
Payment:
Credit Cards
Accepted:
     Visa VISA      MasterCard MasterCard
*Card Number:
*AVS Number:
 (3-digits on back of card)
* Expiration Date
   
* Name on Card
* - items that are required to be filled in so order can be processed.

Special Instructions:
Is there anything else we should know about this order? Would you like it shipping to a different address (as a gift to someone)? Please enter any special instructions in the box below:

Please review all information and then click the "Submit" button to place order.


 

Problems with this form? Please contact Matt Bollwitt by E-mail or call 319-465-5916, ext. 205. We appreciate any bug reports so we can correct them as soon as possible. Thanks!

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