Trip Fee Payment

Use this form to pay your trip fees online. If you would rather pay by check, send it to JustHope, PO Box 4542, Tulsa OK 74159.

Please enter the amount to apply to your PartnerTrip fee.

Trip Fee

For medical residents participating in our clinic rotation program.

Clinic Rotation Fee

Cover Processor Fee

If you are paying using a credit card, please consider increasing your payment to cover the processing fee. This option adds a small percentage (3%) to your total. If you prefer not to pay extra for the fee, you can make JustHope's budget go further by mailing a check to JustHope, PO Box 4542, Tulsa OK 74159.

Total Amount

Email Address *

Are you paying for another person?

If you are paying a trip fee for another person, please check "On behalf of" and enter the person's name here so that we can properly credit it to their account.

On Behalf Of

Select an option to reveal honoree information fields.

First Name *

Last Name *

An email address helps us match to the correct person.

Name and Address

First Name *

Last Name *

Street Address *

City *

Postal Code *

Country *

State *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Trip Name

Please add the name and/or dates of your trip so we can track your payment accurately. Not quite sure? Look at our list of trips.

Trip name or dates

JustHope
PO Box 4542, Tulsa OK 74159
office@justhope.org
918-932-3209

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Trip Fee Payment