Summerships | United Way of Johnson & Washington Counties

Summerships

Congratulations!

You Are Sending A Kid to Camp!

Thank you for supporting

United Way of Johnson & Washington Counties

Summerships program!

Donation Amount

Support Two Campers with a Summership - $ 500.00

Support One Camper with a Summership - $ 250.00

Contribute to a Summership - $ 125.00

Contribute to a Summership - $ 50.00

Other Amount

Other Amount $

Total Amount

Name and Address

First Name *

Last Name *

Current Employer

Street Address (Home) *

City (Home) *

State (Home) *

Postal Code (Home) *

Phone (Primary) *

Email (Primary) *

Credit Card

Card Type

Card Number

Security Code

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Thank you for supporting

United Way of Johnson & Washington Counties, Inc.

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