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Field Trip Payment Form When paying by credit card, your name and address below must exactly match the name and billing address associated with the credit card. Please complete all fields then press the Continue button. Invoice Number: Amount to Pay: $ Your Name: School Name: Your Email: Mailing Address: City: State: Georgia - (not in U.S.) - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska New Hampshire New Jersey New Mexico New York Nevada North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington West Virginia Wisconsin Wyoming Zip Code: Phone Number: Payment Type: SELECT PAYMENT METHOD: Credit Card (complete information below) Card Number: (no spaces) (Visa, MasterCard, American Express or Discover) Expiration Date: Month 1 2 3 4 5 6 7 8 9 10 11 12 / Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Card Code: or check here if code not present: (3 or 4 digit code, after card number, on back of card)

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