Equip Experience

First Name
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Last Name
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Email Address
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# of Students @ $175/person
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# of Youth Pastors / Youth Sponsors @ $0/person
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Credit Card Information

Cardholder First Name
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Cardholder Last Name
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Card Number
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Expiration Month
01 02 03 04 05 06 07 08 09 10 11 12

Expiration Year
25 26 27 28 29 30 31 32 33 34

Card Security Code
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Amount
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We Accept

Please click the Submit button ONLY ONCE or you may be charged multiple times.