______   Money Order                            

Account No._________________________________ Expiration Date__________

Signature____________________________________________________________

Name:__________________________________________________

Address:________________________________________________

City, State Zip___________________________________________

Print this form and Mail to: Camp Moore, P. O. Box 25, Tangipahoa, LA 70465

Or phone credit card orders to: (985) 229-2438 from 10 AM to 3 PM Tues. thru Sat. (CST)