Mount Vernon Nazarene University

Thank you for ordering a survival kit for an MVNU student. These goodies will certainly bless them as they prepare for final exams.

Qty

Description

Amount

Total

Survival Kit(s)

$15.00

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Total: $0.00

MVNU Student Information:

Student Name:

Dorm/Apartment Number:

Gluten Free

Nut Allergy

From:

Note of Encouragement:

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: *