Submit Your Deposit

Submit a $300 deposit to confirm your place in an Open Group Program or for an Individual Volunteer Placement. Deposits are non-refundable except in the event that a program is cancelled by Amizade.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I would like to submit a deposit for:*
- An Open Group Program
- An Individual Volunteer Placement
Are you submitting a payment for yourself or someone else?*
- For myself
- For someone else
Name of Participant*
First Last
What site are you traveling to?*
What program are you participating in?*
When are you traveling?*
Confirmation Deposit*
Price: $300.00
Credit Card*

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