Welcome Basket Sign-up

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Are you interested in more information on sponsoring an international dorm student for the academic year?
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4
My Products
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Sponsorship - Welcome Basket$2.00 credit card processing fee
$52.00+Edit
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Total cost $0.00
Credit Card
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