Adirondack Secure Payments - Keystone Pharmacy

Step 2: Secure Credit Card Payments for Pharmacy Registration Fees - Adirondack

PLEASE NOTE

Our credit card systems are temporarily down for maintenance. PLEASE CALL Keystone Pharmacy to safely provide your credit card:

Call 570-970-2200 Ext 3 and ask for Rosemary or Karen. Thank you!

PLEASE NOTE that Keystone is unable to fill C2 Prescriptions (Controlled Substances) due to the national drug shortage.
KPP does not fill Inhalers, EpiPens, Injectables, Growth Hormones, Birth Control Prescriptions, or Acne Meds topicals and gels.

Confirm Camp Session(Required)

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Please Select # of Campers Registered(Required)

The registration fee is $70 per camper for the first 3, and $50 per camper over 3 registrants (a $15 late fee applies after 6/13, and $30 late fee after 6/16) + a 4% credit card fee.

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Please Select # of Campers Registered (after June 13th)(Required)

The registration fee is $85 per camper for first 3, and $65 per camper over 3 registrants (includes a $15 late fee after 6/02 and a $30 late fee after 6/07) + a 4% credit card fee.

Please Select # of Campers Registered (after June 16th)(Required)

The registration fee is $100 per camper for first 3, and $80 per camper over 3 registrants (includes a $15 late fee after 6/02 and a $30 late fee after 6/07) + a 4% credit card fee.

Please Confirm/List Camper Name(s)(Required)

Please list FULL names separated by commas so we can associate your payment with your camper(s)

Total

includes 4% credit card fee

Billing Information

Billing / Cardholder Name(Required)

First Last

Billing Email Address(Required)

Enter Email Confirm Email

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Information (Secure Checkout)

Please enter your Credit Card below into our Secure form:

Credit Card(Required)

Cardholder Name

Card Details

Please only click the submit button once and wait for the payment to process.