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Destination MBU Road Trip Registration

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Basic Information


Parent's Information -For emergency contact

School Information

Name of the MBU student you would like to room with.

Degree, major, career, etc.

If you have any questions about your visit, please email or call us at (920) 206-2370.

Payment Information

Customer Details

Billing Address

NOTE: There are no transaction/convenience fees for credit card payments.

Credit Card Details

NOTE: You have chosen a non-USA billing address and the eCheck payment method. Your eCheck payment will not be able to be processed from a non-USA bank account.
Bank Account Details