Blessed in the City
VA Northern Diocese Fellowship Trip
Name
*
First Name
Last Name
Additional Names for Riders
E-mail
example@example.com
Phone Number
*
Please enter a valid phone number.
Pickup Location
*
5:00 am - Chester, VA (2701 W Hundred Rd)
7:00 am - Park and Ride (Dumfries Rd Triangle, VA 22171)
Select your Payment Options
*
Credit Card - Visit the diocese webpage
Cash
Cash App - $VNDFINCOM21
Check - Write the check out to Virginia Northern Diocese COOLJC
Submit
Should be Empty: