Test Payment Page

Your Name(Required)

Email(Required)

Phone(Required)

Reason for purchasing meals(Required)

I need to purchase meals for our PBE Team.

I need to purchase meals for non-PBE Team members.

Please select Union and Conference(Required)

Pathfinder Club Name(Required)

Local Church Name(Required)

Team Name/Designation(Required)

Please check all meal options that apply.(Required)

$8 each meal. All options include the following:
-1 piece of whole fruit
-Cookie
-Juice Box

Option 1: Hot Lunch Option: Fresh Pasta and Marinara w/ roasted veggies and garlic bread. Cheese on the side.

Option 2: Sandwich – Heirloom tomato sandwich with house made pesto and greens. (vegetarian)

Option 3: VEGAN Sandwich – Veggie sandwich with arugula (vegan)

Option 1: Hot Lunch (Required)

Price: $8.00

Option 2: Sandwich (Vegetarian) – Heirloom Tomato (Required)

Price: $8.00

Option 3: Sandwich (Vegan) – Veggie w/ Arugula (Required)

Price: $8.00

Total

Address (For credit card purposes)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

American Express

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Card Number

Expiration Date

Security Code Cardholder Name

Phone

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