General Payment

Name*
First Last
Please select one:*
- 2017 Youth Mission Trip
- 2017 Unidiversity
- Registration for Children's Activities, Summer 2017
- Youth Ministry Student Account
Enter the Amount of Your Payment*
Memo/Explanation of Payment*
Tell us what this payment is for. A particular event? For example, unidiversity youth camp or Mission Trip. A scholarship contribution?

If you are paying toward multiple events/funds, please tell us the amount designated for each in this payment.

If you have a Registration ID, please enter it here.
Payment
Email for Receipt*
Total
$ 0.00
Credit Card*

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Card Number Expiration Date Security Code Cardholder Name

Payment