Mission Trip Sign-up Form November 12-18, 2024 Mexico This field is hidden when viewing the formSection BreakPlease fill out the following form if you want to sign up for this mission trip. If you have any questions, please reach out to us at: [email protected]. This field is hidden when viewing the formSection BreakName(Required) First Last Email(Required) Email Verification Phone(Required)Payment Options(Required) Mail in Payment Make a Payment Make checks payable to: “Nations Arise Ministries” Mail to: 965 Grantswood Trail, Birmingham, AL 35210.Select Payment:September 8th, 2024 First Payment (Non-Refundable)October 6th, 2024 Second PaymentNovember 3rd, 2024 Final PaymentPay Total Amount of $1,400Pay Total Amount of $1,650 for Private RoomPay a Different AmountChoose drop-down options to select payment being submitted. Enter Another Amount:(Required) Choose drop-down options to select payment being submitted. Total Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
