Mission Trip Payments Fields marked with an * are required HTML Please make sure to complete all required fields (items marked with an asterisk). After you submit your online registration, you will receive an email confirmation. If you did not receive an email confirmation for your registration, please contact Logan Prochaska. First Name * Last Name * Phone * Email * Which trip would you like to make a payment for? * Haiti Outreach Ministries Tegucigalpa, Honduras - LAMB Trinidad, Honduras - Building Trinidad, Honduras - Medical La Ceiba, Honduras - Habitat for Humanity How much would you like to put towards this trip? (Please no currency markers) * Additional Notes I understand and agree to pay a processing fee that is attached to this form * If you are a human seeing this field, please leave it empty.
