CrossRoads

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Mexico Medical Missions Trip - Individual Registration

Payment 1 of 2

Each trip is $650 per person. Your initial payment is $100. Your final payment of $550. Upon registering, you will have the option to become a fundraiser, where you will have a page you can personalize and share to ask your friends and family to help pay your registration fee.

Select Your Trip Dates

Double-check your dates to ensure you select the right ones!

First Payment

$100 • 1

First payment for your trip.

Attribute your support to:

I'd like to sign up! If you choose this option, you will be taken to customize your page.

Apply funds to myself If you choose this option, you will be taken to customize your page, and your total will be applied there.

Contact information

First Name

Last Name

Mobile Number

Email

Address

City

State

Zip

I have read and agreed to the terms and conditions.

Payment information

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

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I would like to cover the payment processing fees.

Donor hereby approves the payment of the charitable donation and/or purchase to CrossRoads Missions and in the amount set forth herein.