University of St. Francis

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for joining the University of St. Francis’ Pay It Forward service experience. We hope that you not only gain service hours, but also learn how good it feels to be at service to the community. You will be joining other area high school students in service to the Will County community.

The service experience will be on June 22-25, 2020 from 8 a.m. to 2 p.m. each day. The $60 donation will cover a light breakfast, site snack and water, lunch and transportation to the service sites. The student is expected to be present all four days.

Monday, June 22 - Thursday, June 25
8 a.m. – 2 p.m.

To register, please fill out the form below.

Qty

Description

Amount

Total

Pay It Forward Student Fee - 1250-7004

$60.00

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Total: $0.00

Student Information

Student First Name: *

Student Last Name: *

School: *

Graduation Year: *

Student Address:

City:

State:

Zip Code:

Phone Number:

Email:

Parent Name:

Emergency Contact: *

Emergency Contact Phone Number: *

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: *

(xxx-xxx-xxxx)

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *