Holy Spirit Catholic Church

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for choosing to pay online! Please make sure to turn in your child’s permission slip and copy of their medical insurance card. Please designate who this payment is for in the box labeled “Child’s Name.” If you have more than one child you can include all of their names in the same box.

Qty

Description

Amount

Total

Confirmation Retreat

$80.00

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Alive in You Deposit

$100.00

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Alive in You Full Payment

$475.00

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Alive in You Other

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Other

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If “Other” Please name the event in the box below.

Total: $0.00

Child's Name: *

Other:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Comments or Questions:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *