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Register for our 2018 mission trip by completing the registration form below and submitting payment OR print the registration form, complete and mail with payment to: SOM, P.O. Box 492813, Lawrenceville GA 30049.

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To print the above flyer, click here.

Click here to read and download the 2018 Mission Site Information form.


Costs plus fees listed below:

Deposit (By 03/04/18)                $50    + $1 processing fee = $51

Deposit (After 03/04/18)            $75    + $2 processing fee = $77

1st Payment Due 04/22/18          $105 + $3 processing fee = $108

Final Payment Due 05/06/18     $105  + $3 processing fee = $108

or

Pay in Full                                  $260 + $6 processing fee = $266

Please Choose One *
Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Church Address *
Church Address
See 2018 Mission Site Information for additional information. Please Indicate your 1st, 2nd and 3rd choices of ministry below. It does not obligate or guarantee you being assigned to a specific ministry. *
Payment Amount