Eastern Regional Camping Form
Price for camping is $30 per night. That includes water and electric.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please select the nights that you will need a camping spot.
*
September 30
October 1
October 2
October 3
Number of Nights
Calculation
The price below includes an extra $1 per night processing fee.
Payment Amount
*
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( X )
USD
Description
Credit Card
Submit
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