Mission Trip Sign-up Form November 12-18, 2024 Mexico HiddenSection 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]. HiddenSection 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 CAPTCHAEmailThis field is for validation purposes and should be left unchanged.