COTE Payment Form

COTE Payment Form
Your Name

First NameLast Name
Email
example@example.com
What do you need to pay for?

Myself as a PilgrimMyself as a WorkerPilgrim(s) I'm sponsoring
What is the name(s) of the Pilgrim(s) you are sponsoring? Type a name and click Add.
Walk Number*
Did you turn in your application?*

YesNot yet (Go to cotemmaus.org/applications)
Important: Consider Paying With Your Application Instead

This form is intended for independent payments only (after applications are submitted). If you have not completed a Pilgrim, Worker, or Sponsor application, please click HERE to find your application form. You will be able to pay upon submission of the application. Paying with your application is ideal for recordkeeping purposes.
Payment Details*
prevnext( X )
Pilgrim (Full Payment)
$175.00 Quantity
Item subtotal:$0.00



Worker (Full Payment)
$175.00



Scholarship
$25.00 Quantity
Item subtotal:$0.00



Other -$25 Increments
$25.00 Quantity
Item subtotal:$0.00



Total

$0.00
Upon submission, you will be taken to the PayPal payment page. You will need to follow through with payment to complete the process. Otherwise this form will not be submitted properly.
Should be Empty: