Partner Deposit

Service Program Registration: Get Started On Your Journey

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PROGRAM DETAILS

Primary Contact

Welcome

You have chosen the following program for your group's volunteer experience. If these details are not correct, please contact your coordinator for assistance.

Program Location:

Program Arrival Date:

GROUP PARTICPANTS

Please enter the name of each participant in your group. You can add more participants by clicking the 'Add Participant' button or remove any participant using the 'Remove' option next to their name.

If you do not have the names of all team members at this time, it's completely okay. You can leave the name fields blank for those members. We understand that you may still be finalizing your groups composition. You can provide us with the remaining names at a later stage, as soon as the information becomes available to you. We just need the total number of participants below to be correct.

PARTICIPANT

Counter

First Name

Last Name

PAYMENT INFORMATION

You are registering a total of

participants

Please provide the billing details and payment information to secure your group's spots.

Payment Method

Credit CardBank Account

BILLING INFORMATION

Total Deposit Payment Amount:

Billing Contact First Name

Billing Contact Last Name

Billing Contact Email

Billing Contact Phone

Billing Mailing Street

Billing Mailing City

Billing Mailing State

Billing Mailing Zip

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.

By completing this payment, you are securing the spots for total number of participants listed above. Please review all details carefully before proceeding.

Fields marked with an asterisk (*) are required.

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Service Program Registration: Get Started On Your Journey

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