SICM Payments & Scholarships

Your Name*
First Last
Are you paying for yourself or someone else?*
- I'm paying for myself.
- I'm paying for someone else.
Which student are you paying for?*
First Last
Your Email*
If paying for yourself: How much would you like to pay?
For reference: $350 deposit is due March 2nd. $815 is full price of the trip. You can make installment payments of any amount.
Would you also like to include a scholarship to help other students go to SICM? You can enter any amount here:
*Once everyone is paid for, any leftover funds will be transferred to the general fund to further the mission of FOCUS.
If you are paying a scholarship towards one of our students, enter that amount here:
*Once everyone is paid for, any leftover funds will be transferred to the general fund to further the mission of FOCUS.
Total
$0.00
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name