Sign Up Form for the Campfire Lighters Endowment

Camp de Benneville Pines Campfire Lighters
Sign me up to be a Campfire Lighter!
Date
Name(s)
Address
City	State Zip +
Home Phone
E-mail
Congregation or Camp Affiliation
I pledge to pay $100 (or more) per year. I wish to make the payment as follows: Once a year by check Twice a year by check Four times a year by check I pledge a total of $ for the year. Signed

Please fill in the form, print and sign.
Mail your pledge to:
Camp de Benneville Pines
41750 W. Jenks Lake Road
Angelus Oaks, CA 92305-9789

Please direct all question to committee chair or
Camp de Benneville Pines, 909-794-2928

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