Mission Trip Payments

Please use this form to make credit card payments towards your trip. If there are multiple people you are paying for in your group, please complete one transaction per person. If you have spoke with a member of our staff and are making payment for an airline ticket, etc – please use the custom amount to pay the amount provided to you.

For online payments a mandatory card processing fee is included for this transaction.
To avoid this fee, please contact the office to pay by check or ACH.

$ Donation Amount:

Plus an additional to cover card processing fees.

Which Trip Are You Making A Payment On

Team Member Information

Please complete your full name as it appears or will appear on your passport.

First Name

Middle Name

Last Name

Member Email

Member Phone

Member Birthdate

If the following information is the same as your billing information you can skip this address section.

Mailing Address

City

State

Zip

Personal Info

First Name *

Last Name *

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $250.00

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