Southwestern Diabetic Foundation

Alumni PAY IT FORWARD
Help the next generation of campers experience Camp Sweeney by donating for a day, a week, full tuition for 1 camper, or more!

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Qty

Description

Amount

Total

# Days

$150.00

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per day

# Weeks

$1,000.00

---

per week

# Campers

$3,000.00

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per camper

Total: $0.00

Donor 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.

Additional Information:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *