PNW DLC Camper Payments

DeMolay Leadership Conference Registration Payments 2021

Camp Sheppard, WA
Camper Information
Name*

First NameMiddle NameLast Name
E-mail*
My Jurisdiction*
My Chapter*
Have you been given a scholarship?*
Additional Comments:
Payment Information
How would you like to make your payment?*

Pay by MailPayPalPay Later
Event Name
Thank you {name5},

Once you are ready to submit your payment, you can return to use the PayPal option, by coming back to the website and selecting the "payment option" button, or if you are planning to submit a check, please print a copy of your registration confirmation email and mail payment to:

PNW DLC 2021
c/o Warren Cole - Registrar
20040 NW Nestucca
Portland, OR 97229
Registration Options
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2021 DLC Registration - No Scholarship$350.00

2021 DLC Registration - $50 Scholarship$300.00

2021 DLC Registration - $100 Scholarship$250.00

2021 DLC Registration - $150 Scholarship$200.00

2021 DLC Registration - $200 Scholarship$150.00

2021 DLC Registration - $250 Scholarship$100.00

2021 DLC Registration - $300 Scholarship$50.00

Subtotal $0.00Shipping $0.00Total $0.00
Should be Empty: