Make a Service Program Payment

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DETAILS

Volunteer

Invoice Number

Due Date

Amount Due

Program Location

Program Arrival Date

PAYMENT INFORMATION

Fields marked with an asterisk (*) are required.

Payment Amount

Payment Method

Credit CardBank Account

eCheck/Electronic Bank Transfer

Specific Authorizations

I authorize Global Volunteers to debit the payment amount from my bank account.

Account Type

CheckingSavings

Bank Information

Name on Account

Bank Name

Bank Routing Number

Bank Account Number

Credit Card

Specific Authorizations

I authorize Global Volunteers to charge my credit card.

Card Information

Name on Card

Card Number

Code

If the credit card does NOT belong to the person registering, you must print the authorization form now (before sending the application electronically) and send a copy to Global Volunteers via fax to 651-482-0915, or by mail to:
375 E. Little Canada Rd.
St. Paul, MN, 55117, USA

Once you have printed the authorization form, press the SUBMIT button below.

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Make a Service Program Payment

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