CCC Payment Test Payment Description*Please indicate for what is the paymentGift shop purchasePayment for current or past eventDeposit for future eventSpiritual DirectionGratuity to be shared with staffDonationReference Number / Event Description*Please fill in the reference number on the top of the Reservation Confirmation or Invoice. If none, briefly describe the event.Description of PurchasesPlease describe the gift shop purchase(s). More than one on this form is OK.Payment or Deposit Amount* Spiritual Direction Amount* Gift shop purchase* Sales Tax*There is a 7% sales tax added to gift shop purchases. Price: $0.00 Courtesy Fee*There is a 3.5% additional charge to cover the cost of credit card payments. Price: $0.00 Additional Donation Amount (optional) Total $0.00 Name First Last PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Credit Card Card Details Cardholder Name Additional Comments Contact Us