Mission Outreach August -May Group Registration by Ricky Hill | Nov 3, 2023 | Latest News Mission Outreach - August-May Application Church/Group Name * Pastor Contact Person * Email for contact person * Preferred mailing address * Preferred mailing address Preferred mailing address Preferred mailing address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Work/Church Phone * Mobile Phone * If United Methodist Church, are you in the SEJ (Southeastern Jurisdiction)? Yes No Preferred phone * Work/Church Mobile Do you text? * Yes No Mission Dates * Format: MM/DD/YYYY to MM/DD/YYYY) Total # of Participants * #Youth * #Adults * Has your group participated in Hinton Center mission outreach before? * Yes No If no, how did you hear about the Hinton Center? The first deposit of $50 per person is due along with this group application form. The final deposit is due 30 days prior to arrival, along with confirmation of the number of participants. If the registered group needs to reduce the number of participants, this change must be made at least 30 days prior to arrival. Any increase of participants must be made in consultation with Hinton Center. If you need to cancel for any reason before 30 days prior to your arrival, you will be asked to rollover your paid amount to a future missions experience. If you need to cancel 30 days or less prior to your arrival, your deposit (or equivalent of $50/person for the total amount registered) will be nonrefundable. The remaining funds paid can be applied to a future missions experience. All group and individual forms are do no later than 30 days prior to arrival. Payment options Mail in paymentPay with PayPalUse this dropdown to select how you are paying, on-line or by mail FIRST DEPOSIT INCLUDED: Number of participants * Total amount due * I understand and agree to the schedule outlined above. Group contact signature: * signature keyboard Clear Date * To make your payment on-line, use the PayPal link below; payment will be confirmed after payment is received. You do not need to have a PayPal account. Select the option to 'pay with debit or credit card' to complete your payment. If you select to mail in your payment, you must still submit "PAY WITH PAYPAL" but you will bypass PayPal and your application will be submitted. You will receive a confirmation on the next screen. If you are human, leave this field blank. Pay with PayPal Start Over
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