Mission Outreach Summer Group Registration form by Ricky Hill | Nov 3, 2023 | Latest News Mission Outreach - Summer Group Registration Church/Group Name * Pastor's name * Group Leader's name * Group Leader's email * 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 Is this mailing address: * Church Home If church mailing address is different than above, please provide here If church mailing address is different than above, please provide here If church mailing address is different than above, please provide here If church mailing address is different than above, please provide here City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Church phone number * Mobile number of contact person * If UMC, is your church in the SEJ (Southeastern Jurisdiction)? Yes No Do you use text messaging? * Yes No Mission Dates * (Format: MM/DD/YYYY to MM/DD/YYYY Total fees for all-inclusive trip: $395/person. The deposit of $150 per person is due with this group application form. If the first deposit is received by 12/1/23 and all paperwork submitted by 5/15/24, a 10% discount for the entire group will be applied to the final payment. Please note our payment schedule/refund policy: Deposit – due to register ($150/person) – must be received to hold dates Second payment – due by 3/1/24 ($100/person), along with signed covenant Final payment – due at least 30 days prior to your arrival Please register for the minimum amount of persons you expect to bring. As your numbers increase, let Hinton know – if we have room, you can continue adding people. 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 $150/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 due no later than May 15 (see t-shirt pre-order form for due dates). Group leaders are responsible for reading the Preparation Booklet and signing the “guidelines” page. What is the number of adults on your mission team? * What is the number of youth on your mission team? * Total number of participants. * (this field will be automatically calculated based upon previous entries) Total Amount Due: * Payment Options * Use this dropdown to select how you are paying, on-line or by mailMail in PaymentPay with PayPal Has your group participated in Hinton Center Mission Outreach before? * Yes No If no, how did you hear about Hinton Rural Life Center? To make your payment online, 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 will bypass PayPal and your application will be submitted. If you are human, leave this field blank. Pay with PayPal
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