Southwestern Diabetic Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

This is Camp Sweeney's Online Camper Account Payment Page. Use this page to make payments of camper's accounts or to set-up automatic monthly payment plans.

Payment Amount

Choose A Frequency

Recurring Frequency:

Total: $0.00

Camper's Information

Camper's First Name: *

Camper's Last Name: *

Camper Number:

Session:

(i.e. 2025-1, 2025-2, etc.)

Date of Birth:

Additional Information:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *