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Register Online

Fill out and submit the following form. A group deposit of $750.00 will be charged to your credit card or will be required by check. If you are an individual or group of two your deposit is $250.00/person.

Your per-person cost will be $595.00, due over the course of the payment schedule.

*Price does not include airfare, ministry or construction materials, spending money, passport, or vaccinations.

When your Registration form is submitted online, you are ready to go! Praying Pelican Missions will send confirmation of your acceptance and contact you to answer any initial questions.

Get ready for the trip of a lifetime!

Notes:

  • Please use your shipping and billing address below.
  • If you have been on a PPM trip in the past, please LOGIN TO YOUR ACCOUNT before registering.

Group Information

Church/Organization: Required
If you are not affiliated with a particular church or organization, please make up another team name.
Group Leader: Required
Position: Required
Daytime Phone: Required10 digits only required(10 digits)
Church Phone: Required10 digits only required(10 digits)
Address: Required
Address 2:
City: Required
State/Province: Please select an item.
Zip/Postal Code: Required
Country: Please select an item.

Trip Information

Requested Date: 07/27/2013, return on 08/02/2013
Number of Group Members:
RequiredPlease give a number.
You can change this number later if needed. The group registration fee is $750.00 for groups larger than 2.

Payment Information

Payment Type: Please select an item.

Your Account

E-mail: RequiredIncorrect e-mail address format
Set Password: You must set a passwordMust have at least 6 characters
  You will use this to log into your Praying Pelican Missions account and to receive information on your upcoming trip.

Other Information

When would be the best time to reach you for your initial consultation? Please select a date.
   
Where did you hear about Praying Pelican Missions? Please select an option.

Terms and Conditions

Please read and understand this before you register! You must accept
these terms and conditions before submitting.

Must be checked to continue I agree to these terms and conditions.

 
 
 
By submitting your registration, you agree to complete payment by check or by credit card via PayPal in the next step

My Account

 

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