Mission Trip Payment Page

Contact Information

Please fill this out with the information of the person making this payment

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Payment Information

This will help us know how to allocate the funds from your payment

Is this a payment on behalf of someone else, or someone who is not your child?

Yes, it is on behalf of someone else, or someone that is not my child

No, it is for myself, or my child who is attending the trip

If yes, you will be asked to provide their email address, so they can be made aware of this payment. If no, then it is assumed that you are making this payment for your own trip, or the trip of your child.

Trip Name(Required)

Which trip are you making a payment toward? Examples may include: Mexico, Costa Rica, St. Louis, etc.

Student Name(Required)

What is the name of the student that this payment is for? Please use the first and last name.

Payment Amount(Required)

Please enter the amount that you would like to pay toward this trip.

Total

This total reflects the 3% processing fee that is associated with all online payments/donations

Credit Card(Required)

Cardholder Name

Card Details

Final Consent(Required)

By checking this box, I understand and agree to pay the full amount shown above, which does include a 3% processing fee.