World Changers 2017 Puerto Rico Payments
 
World Changers 2017 Puerto Rico Payments
WORLD CHANGERS MISSION TRIP
DATES: June 11-19, 2017
LOCATION: Puerto Rico
TOTAL COST: $1,300
If you have already registered and paid the $100 deposit, please use this form to make additional payments. THE FULL BALANCE OF $1,200 MUST BE PAID BY May 21, 2017.
Student’s Name  * 
Parent's Name  * 
Phone Number  * 
Your Email Address  * 
A monthly payment plan has been set up for your convenience. If you choose to make a different payment, click OTHER, then input the dollar amount in the next box.  * 
If you prefer to make a different payment than what is suggested, please note in the box the amount you wish to pay. $ 
Total $
 
 
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