Mount Vernon Nazarene University

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Service Learning Trip Payment

Please select the trip location, and provide the name of the student who will be traveling. Notice: Because this amount will be applied as a payment toward the cost of a specific student’s trip, it will not be processed as a contribution to Mount Vernon Nazarene University. Please consult your tax advisor regarding the tax deductibility of these funds.

Description

Amount

Total

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I would like to add 3% to my total to help offset credit/debit card processing costs.

Total: $0.00

Student Information

First Name: *

Last Name: *

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: *