Group Mission Trips 08-22-2020 Leogane Haiti

Registration

Fill out the form below to register your group for a mission trip. If you have already registered for a trip, make a payment.

Contact Information

Group or Church Name*

Primary Contact First Name*

Primary Contact Last Name*

Phone Number*

Email Address*

Address*

Zip Code*

City*

State*

Reserve Spaces

Number of Youth*

Number of Adults*

Payment Information

Credit Card Number*

Name on Card*

Zip Code*

Address*

Card Expiration*

CVV*

Accept Credit Cards

Mission Trip Information

Location:

Léogâne, Haiti

Dates:

Aug 22 2020 to Aug 29 2020

Mission Trip Type:

International

Price:

$999 / person

Spaces Reserved:

0 total (0 Youth, 0 Adults)

Amount Due Now

Remaining Balance

I agree with the Terms & Conditions, Privacy Policy, and understand that my registration is pending until I receive an email confirming my registration (email should be received within one business day). I also understand, based on availability, that I may have to choose another location or date.