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2023 Camp Chromosome 18 - Annual Family Summit: Monthly Payment Registration Form
Fill in the following form to register for monthly payments in order to cover the cost of attending the 2023 Camp Chromosome 18 - Annual Family Summit in Columbus, OH from July 9-12, 2023. Please contact office@chromosome18.org with any questions you might have.

There will be NO refunds or exchanges in the event you can not make it to the conference. All monthly payments are subject to a one-time set-up fee of $10.
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Name: (First & Last) *
Phone: *
Email: *
Billing Street Address: *
Billing City: *
Billing State: *
Billing Zip Code: *
Billing Country: *
Number of Adult Registrations (without Stipend) at $350
Number of Adult Registrations (with Stipend) at $225
Number of Child Registrations including childcare (without Stipend) at $575
Number of Child Registrations including childcare (with Stipend) at $275
Do you agree to a 5-month payment plan, with payment beginning in February 2023? *
Required
Please select a start date for payments - the first payment must be submitted before February 28, 2023.  *
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The Chromosome 18 office will be contacting you for details on your credit card information to finalize your monthly recurring payments. All information supplied will be only used in connection with the Conference Registration for Chromosome 18. Please leave any comments, questions, and concerns here.
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