ATS Doctor of Ministry Application Fee

Description: Use this form to pay the non-refundable $50 application fee for ATS' Doctor of Ministry program.

You must provide your full name, address, phone number, and email address below.
Amount: $50 USD

PAYER INFORMATION (REQUIRED AND CONFIDENTIAL)

Full Name:
Street Address:
City:
State:
Zip Code:
Country:
Phone:
Valid Email:
Your Relationship to Nyack/ATS:
Other?

COMMENTS/ADDITIONAL INFORMATION

BILLING INFORMATION

Amount Due: $50 USD
 
Card Number:
CID Number:
(numbers only, format MMYYYY, i.e. '042019')
Card Exp. Date:
Your secure transaction may take as much as a minute or two to complete. Thank you for your patience.