SICM Payments -

Please use this page only to pay for SICM! This is not the registration page. If you still need to register, please visit anyfocus.org/sicm.

Your Name(Required)

First Last

Your Email(Required)

Are you paying for yourself or contributing to a scholarship?(Required)

The scholarship may be a general scholarship or for a specific student. If you click on the option to contribute towards a scholarship, you will have the option to enter the first and last name of the student you specifically wish to scholarship.

I'm paying for myself

I'm contributing towards a scholarship

Please provide the name of the student you are providing a scholarship for.

If you wish to contribute to a general scholarship, you may leave this section blank.

First Last

For reference, recommended payment amounts and dates:
$350 deposit is due on March 14.
$392.50 partial payment is due on April 9.
$392.50 final payment is due on May 6.
$1135 is the full price of the trip.

How much would you like to pay towards SICM?(Required)

If you would like to contribute to a general SICM scholarship for other students, you can donate an amount here.

Once all of our students have been paid for, excess funds will be transferred to the general fund.

How much would you like to contribute towards a SICM scholarship?(Required)

If applicable, this scholarship will go towards the student you have named above. Once all of our students have been paid for, any excess scholarship funds will be transferred to the general fund.

Would you like to cover the cost of the transaction fees (3%) for this transaction?(Required)

Yes

Transaction fees that will be added to this transaction

Price: $0.00

Total

Credit Card(Required)

Card Details

Cardholder Name