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Mission To Mexico Application
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
How many are in your group?
*
1
2
3
4
5
6
7
8
9
10+
Adults
*
1
2
3
4
5
6
7
8
9
10+
Children
*
0
1
2
3
4
5
6
7
8
9
10+
Names & Ages
*
Please indicate T-shirt sizes & quantity for those in your group:
Small
*
Medium
*
Large
*
XL
*
2XL
*
Comment
*
Please share with us why you want to participate in the Mission to Mexico Trip and what you expect to get out of the experience. Also, indicate any special gifts/skills that you have. (ex: Spanish speaking, play musical instruments, contractor, plumber, electrician, painting…etc.)
Please Select all that apply
*
Interested in completing an Eagle Project
Interested in Service Hours for Diploma
Cost:
$350 Per Person
(Arizona Mission to Mexico is a non-profit, 501c3 organization)
*This price includes
ALL
food, drinks & T-shirt. This fee also helps to purchase building supplies. Excess monies will go to the orphanage.
Please make checks payable to: “
AZM2M”
Mail to: 1347 N Greenfield Rd.
Ste. 103 Mesa, AZ 85205
For more information, please contact Brian or Allison Evans:
Brian: (480) 703-4957
Allison: (480) 703-4997
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