Lansing Youth for Christ

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for choosing to go on a Campus Life trip!

The first 54 students to sign up for the Wisconsin Dells trip will receive a $50 matching grant towards the trip. There are no more remaining matching grants towards the Wisconsin Dells trip.

The deposit for Wisconsin Dells is included within the trip price ($179).

There are a limited number of spots available for the Cedar Point trip. It's first come, first serve.

TRIP OPTIONS AND PAYMENT AMOUNTS

Wisconsin Dells - Deposit only - $50

Wisconsin Dells - Price - $179

Wisconsin Dells - Other Amount

Montana

Grand Haven - $5

Mackinac Island - $30

The Drive-In - $15

Cedar Point - July 1st - $53

PLEASE ENTER YOUR PAYMENT AMOUNT BELOW

Payment Amount

Student Information

Student Name: *

Student's School: *

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.

Your Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date:

Name on Account:

Routing Number:

Account Number: