Camp Caney: Donation Request
Set up a one time or recurring donation to Camp Caney (automatic withdrawal from your back account)
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Name (as it appears on your bank account) *
Phone (include area code) *
Address (Street, City, State and Zip Code) *
Bank name *
Routing number (no spaces) *
Account number (no spaces) *
Frequency of donation *
Amount of donation (ex: $100.00) *
Designate my funds to go toward: (OPTIONAL)
Notes: (OPTIONAL)
By selecting "I agree" below:

I acknowledge that I am the person whose name has been submitted above. 

I hereby authorize Caney Conference Center to electronically debit my account. 

I (we) understand that this authorization will remain in full force and effect until I (we) notify Camp Caney in writing that I (we) wish to revoke this authorization. I (we) understand that Camp Caney requires at least 30 days prior notice in order to cancel authorization.
 *
Required
Date Request Submitted (today's date) *
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