Mercy Missions Atlanta

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Qty

Description

Amount

Total

Registration for Young Adult December Mission 2023

$15.00

Mission Uniform

Qty

Description

Amount

Total

$15.00

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DONATE TO THOSE IN NEED

Support those in need on the streets of Atlanta

By donating, you crucially contribute to bringing comfort to individuals facing homelessness on Atlanta's streets, directly translating your support into tangible compassion that empowers our missionaries to enhance lives and foster a positive influence within the local homeless community.

Donate to Mercy Missions Atlanta

Choose A Frequency

Recurring Frequency:

Donation to Mercy Missions Atlanta

Contributions from you are crucial in upholding essential operational expenses such as transportation, insurance, registration, scholarships, and beyond, enabling the continuity of missions throughout the year!

DISCOUNT CODE

Enter your discount code:

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Total: $15.00

Missionary Information

First Name: *

Last Name: *

Email: *

Cell Phone: *

Date of Birth: *

Age: *

Gender: *

School/Work: *

Parish: *

Is this your first time attending a mission trip? *

Medical Conditions/Allergies:

Blood Type:

Medications:

Special Needs or requests:

How did you hear about Mercy Missions? *

Emergency Contact

Emergency Contact Name: *

Emergency Contact Phone: *

ELECTRONIC SIGNATURE
Click here to view the mission waiver.

I have read and understand the linked waiver in its entirety, and also understand that it is a legal document and I agree and consent to all terms and conditions contained within.

Missionary Name: *

Please type your first and 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: *